Individual
MANDY CARTER MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
416 E MCPHERSON AVE, SUITE A, NASHVILLE, GA 31639-2276
(229) 686-2093
Mailing address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006991
GA
Other
Enumeration date
09/24/2013
Last updated
06/18/2015
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