Individual
BRANDIE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
602 W LAKE AVE NW, ATLANTA, GA 30318-6406
(619) 453-2835
Mailing address
602 W LAKE AVE NW, ATLANTA, GA 30318-6406
(619) 453-2835
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014227740
GA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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