Individual
KACEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
208 SCRANTON CONNECTOR STE 117, BRUNSWICK, GA 31525-0560
(912) 574-5958
Mailing address
3025 SHRINE RD, SUITE 390, BRUNSWICK, GA 31520-4784
(912) 466-7340
(912) 466-7358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8187
GA
Other
Enumeration date
10/17/2016
Last updated
06/28/2019
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