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Individual

MRS. TORIE LAVERNE MCMILLIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN,APRN,A-GNP-C

Contact information

Practice address
2086 JODECO RD STE 1398, MCDONOUGH, GA 30253-5220
(770) 501-6977
(770) 268-6648
Mailing address
32086 JODECO RD STE 1398, MCDONOUGH, GA 30252
(770) 501-6977
(770) 268-6648

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN208119
GA
363LC1500X
Community Health Nurse Practitioner
RN208119
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN208119
GA
363LP2300X
Primary Care Nurse Practitioner
RN208119
GA

Other

Enumeration date
08/03/2022
Last updated
10/09/2025
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