Individual
CHERRYL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 RAVENEL RD, CONLEY, GA 30288-2226
(404) 254-8063
Mailing address
1506 RAVENEL RD, CONLEY, GA 30288-2225
(404) 254-8063
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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