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Individual

STEPHEN DERRICK MILHOLLIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1800 10TH AVE, COLUMBUS, GA 31901-1529
(706) 571-1120
Mailing address
806 ABINGDON WAY, ATLANTA, GA 30328-1686
(706) 878-0749

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97198
GA

Other

Enumeration date
03/29/2019
Last updated
10/30/2023
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