Individual
MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8509 HOSPITAL DR, DOUGLASVILLE, GA 30134-2414
(770) 947-5440
Mailing address
PO BOX 518, JONESBORO, GA 30237-0518
(770) 931-8277
(770) 931-9403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP005288
STATELISC NUMBER
GA
Enumeration date
11/06/2006
Last updated
07/08/2007
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