Individual
MS. JESSICA RAQUEL MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC-L
Contact information
Practice address
1100 SHERWOOD PARK DRIVE, NE, STE. 140, GAINESVILLE, GA 30501-3426
(770) 297-7750
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
927
AL
2255A2300X
Athletic Trainer
Primary
AT001878
GA
Other
Enumeration date
05/23/2007
Last updated
07/11/2011
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