Individual
MS. DEADREA JEAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3227 VERDANT DR SW APT 1511, ATLANTA, GA 30331-3086
(678) 358-8203
Mailing address
3227 VERDANT DR SW APT 1511, ATLANTA, GA 30331-3086
(770) 696-9231
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30331
—
GA
Enumeration date
09/04/2019
Last updated
09/04/2019
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