Individual
MRS. SHELLEY MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ENTERPRISE PKWY, MCDONOUGH, GA 30253-9000
(678) 583-9071
Mailing address
130 ENTERPRISE PKWY, MCDONOUGH, GA 30253-9000
(678) 583-9071
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN199268
GA
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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