Individual
ANDRE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2357 TOBACCO RD, AUGUSTA, GA 30906-9220
(706) 722-3855
(706) 798-3795
Mailing address
2357 TOBACCO RD, AUGUSTA, GA 30906-9220
(706) 722-3855
(706) 798-3795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NTP001004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NTP001004
AUGUSTA METRO TREATMENT CENTER
GA
Enumeration date
07/22/2019
Last updated
07/22/2019
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