Individual
CASEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1064
(404) 712-1285
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1064
(404) 712-1285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN292708
GA
Other
Enumeration date
02/09/2013
Last updated
02/18/2020
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