Individual
RADIANT KHALIL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTCB, PCA
Contact information
Practice address
5801 RIVERDALE RD APT 48L, ATLANTA, GA 30349-6878
(678) 973-5791
Mailing address
5801 RIVERDALE RD APT 48L, ATLANTA, GA 30349-6878
(678) 973-5791
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
GA
Other
Enumeration date
05/04/2022
Last updated
05/22/2022
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