Individual
JACOB MILLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 COLEMAN AVE, MACON, GA 31207-0001
(478) 301-2700
Mailing address
1345 HARDEMAN AVE, MACON, GA 31201-1439
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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