Individual
MRS. CARMEN MILLER PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7279 MADISON CIR, UNION CITY, GA 30291-5161
(770) 306-9151
Mailing address
7279 MADISON CIR, UNION CITY, GA 30291-5161
(770) 306-9151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005864
GA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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