Individual
CODY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2350 LIMESTONE PKWY, GAINESVILLE, GA 30501
(770) 536-9300
Mailing address
4066 DEERLOPE CT, GAINESVILLE, GA 30506-7308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001778
GA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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