Individual
KAITLYN MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 PURDY DR, LITHIA SPRINGS, GA 30122-1023
(678) 739-1212
Mailing address
3890 PURDY DR, LITHIA SPRINGS, GA 30122-1023
(678) 739-1212
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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