Individual
DEBORAH MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4896A HIGHWAY 90, MARIANNA, FL 32446-7840
(850) 526-6700
(850) 526-5021
Mailing address
4896A HIGHWAY 90, MARIANNA, FL 32446-7840
(850) 526-6700
(850) 526-5021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003018
GA
363A00000X
Physician Assistant
PA9108426
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003018
OTHER
GA
01
—
FKUJ6
FLORIDA BLUE
FL
Enumeration date
01/05/2006
Last updated
11/08/2016
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