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MINI JOSEPH SHIVPRASAD M.D.

Individual Provider (NPI-1) Active

Internal Medicine

Provider Information

NPI Number
1407836158
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
1240 JESSE JEWELL PKWY SE SUITE 500, GAINESVILLE, GA, 305013862
Phone
(770) 536-9864
Fax
(770) 297-5023

Specialties & Taxonomies

Internal Medicine, Geriatric Medicine License: GA #57493
Internal Medicine Primary License: GA #57493

All Addresses

LOCATION

1240 JESSE JEWELL PKWY SE SUITE 500

GAINESVILLE, GA, 305013862

(770) 536-9864

MAILING

1240 JESSE JEWELL PKWY SE SUITE 500

GAINESVILLE, GA, 305013862

(770) 536-9864