Individual
HEATHER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 HIGHWAY 74 S, SUITE 270, PEACHTREE CITY, GA 30269-3081
(304) 380-4005
Mailing address
811 SPOONER RDG, PEACHTREE CITY, GA 30269-1259
(304) 380-4005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002840
GA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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