Individual
BRENDA DONELLA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 2ND AVE, COLUMBUS, GA 31901-2112
(706) 576-5879
(706) 576-5896
Mailing address
PO BOX 5328, COLUMBUS, GA 31906-0328
(706) 576-5879
(706) 576-5896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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