Individual
MIA ELOISA MISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1490 DISTRIBUTION DR STE 150, SUWANEE, GA 30024-4916
(678) 263-3080
Mailing address
1325 SATELLITE BLVD NW STE 400, SUWANEE, GA 30024-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN212250
GA
2084P0800X
Psychiatry Physician
RN212250
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN212250
GA
Other
Enumeration date
01/27/2012
Last updated
06/18/2025
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