Individual
MR. KENT D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
100 6TH ST NE APT 616, ATLANTA, GA 30308-1308
(786) 543-2908
Mailing address
100 6TH ST NE APT 616, ATLANTA, GA 30308-1308
(786) 543-2908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11017873
FL
Other
Enumeration date
02/01/2022
Last updated
04/22/2022
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