Individual
MR. MICHAEL EDWARD WOOD-MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCIT
Contact information
Practice address
5 SW BROAD ST, METTER, GA 30439-4433
(912) 507-4883
Mailing address
5 SW BROAD ST, METTER, GA 30439-4433
(912) 507-4883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2019102-T
GA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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