Minter, Joyce Davis

Minter, Joyce Davis is an sole proprietor health care provider with primary practice located at 6886 Main St Ste 215 , Lithonia GA 30058-4508. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Minter, Joyce Davis can be contacted via phone (678) 526-1132.

Contact Information

Primary practice address
6886 Main St Ste 215 Lithonia GA 30058-4508
Fax: (678) 526-1153
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004278 Georgia

Profile Details

NPI number 1467440024
LBN Legal business name Minter, Joyce Davis
Credentials RN, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2005
Last updated May 5th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467440024 NPPES
Georgia MEDICAID 950263099A

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