Individual
KRISTINE E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
761 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 513-4000
(770) 995-3495
Mailing address
761 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 513-4000
(770) 995-3495
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN064231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000535312A
PEACH STATE
GA
01
—
00535312A
WELLCARE
GA
05
—
00535312A
—
GA
Enumeration date
01/23/2007
Last updated
01/31/2012
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