Individual
MS. GLORIA ANN MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033
(404) 728-7614
Mailing address
1449 STONE MILL TRACE, STONE MTN, GA 30083
(770) 879-5845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2024570
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024570
LPN
AL
Enumeration date
08/11/2008
Last updated
08/11/2008
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