Individual
AMY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6102 BANKS ST, LULA, GA 30554-2858
(770) 869-3616
(770) 869-9080
Mailing address
6102 BANKS ST, LULA, GA 30554-2858
(770) 869-3616
(770) 869-9080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16952
GA
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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