Individual
MARY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 CHERRY ST, LUMPKIN, GA 31815
(229) 942-6256
Mailing address
PO BOX 65, LUMPKIN, GA 31815-0065
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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