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Organization
MACMILLZ MOBILE MEDI ASSESSMENTS LLC
Active
Organization
MACMILLZ MOBILE MEDI ASSESSMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORIE LAVERNE MCMILLIAN NP (NURSE PRACTITIONER (OWNER))
(336) 478-5924
Entity
Organization
Contact information
Practice address
30 SALEM RDG, COVINGTON, GA 30016-4184
(770) 501-6977
Mailing address
30 SALEM RDG, COVINGTON, GA 30016-4184
(770) 501-6977
(770) 268-6648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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