Individual
MARIAH MILLSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
(770) 982-0102
Mailing address
1640 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017950
GA
Other
Enumeration date
09/05/2025
Last updated
09/19/2025
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