Individual
MACKENZIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
239 VILLAGE CENTER PKWY STE 190, STOCKBRIDGE, GA 30281-6396
(770) 628-1500
Mailing address
71 OAK HILL TER, FAYETTEVILLE, GA 30215-8058
(815) 821-5760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016821
GA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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