Individual
JASON MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 LAKESHORE DR, SAVANNAH, GA 31419-9422
(912) 927-0777
Mailing address
133 LAKESHORE DR, SAVANNAH, GA 31419-9422
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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