# MACMILLZ MOBILE MEDI ASSESSMENTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356053086
- **Authorized official:** TORIE LAVERNE MCMILLIAN NP (NURSE PRACTITIONER (OWNER))
- **Authorized official phone:** (336) 478-5924

## Contact information

- **Practice address:** 30 SALEM RDG, COVINGTON, GA 30016-4184
- **Practice address phone:** (770) 501-6977
- **Mailing address:** 30 SALEM RDG, COVINGTON, GA 30016-4184
- **Mailing address phone:** (770) 501-6977
- **Mailing address fax:** (770) 268-6648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2022
- **Last updated:** 12/13/2022