Individual
S. MARILYN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 FAIRLIE ST NW, SUITE 203, ATLANTA, GA 30303-2127
(912) 665-3759
Mailing address
90 FAIRLIE ST NW, SUITE 203, ATLANTA, GA 30303-2127
(912) 665-3759
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2987
GA
103G00000X
Clinical Neuropsychologist
33123
TX
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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