Individual
MIZPAH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
284 S GORDON RD SW, MABLETON, GA 30126-5375
(770) 374-4320
Mailing address
PO BOX 1816, MABLETON, GA 30126-1013
(770) 374-4320
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
23348416
FL
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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