Individual
MIKAELA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1501 MERCER UNIVERSITY DR SPORTS MEDICINE DEPARTMENT, MACON, GA 31207-0001
(443) 536-8678
Mailing address
1501 MERCER UNIVERSITY DR SPORTS MEDICINE DEPARTMENT, MACON, GA 31207-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004353
GA
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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