Individual
MR. ANTONIO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
94 E OAKLAND AVE STE A, CAMILLA, GA 31730-1529
(229) 336-9769
Mailing address
94 E OAKLAND AVE STE A, CAMILLA, GA 31730-1529
(229) 336-9769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN153026
GA
Other
Enumeration date
11/02/2018
Last updated
01/18/2024
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