Individual
MITZI HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(229) 838-4835
Mailing address
PO BOX 5328, COLUMBUS, GA 31906-0328
(229) 838-4835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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