Individual
GRACE P MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 W ALTMAN ST, STATESBORO, GA 30458-5277
(912) 764-6129
(912) 489-7593
Mailing address
309 GENTILLY RD, STATESBORO, GA 30458-2051
(912) 764-6129
(912) 489-7593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN073395
GA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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