Individual
MILLICENT PHINIZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ED.S.
Contact information
Practice address
5868 COBBLESTONE CREEK CIR, MABLETON, GA 30126-2609
(678) 547-6212
Mailing address
5868 COBBLESTONE CREEK CIR, MABLETON, GA 30126-2609
(678) 547-6212
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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