Individual
KACIE MILHOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1327 STADIUM DR, MACON, GA 31207-2045
(478) 301-2382
(478) 301-2391
Mailing address
250 MARTIN LUTHER KING JR BLVD, MACON, GA 31201-3490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN181471
GA
363LF0000X
Family Nurse Practitioner
Primary
RN181471
GA
Other
Enumeration date
12/19/2016
Last updated
10/12/2023
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