Individual
TAFFYE J MCMILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
65 TRELAWNEY DR, COVINGTON, GA 30016-6891
(678) 663-0891
(678) 663-0891
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5253312
FL
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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