Individual
DELISA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
832 BAXLEY WAY, COLUMBUS, GA 31907-5126
(063) 293-8487
Mailing address
832 BAXLEY WAY, COLUMBUS, GA 31907-5126
(063) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
085618
GA
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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