Individual
TANYA D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
1724A OLD REYNOLDS ST, WAYCROSS, GA 31501-1036
(912) 283-1359
(912) 283-1360
Mailing address
220 SIERRA ST, WAYCROSS, GA 31503-9232
(912) 550-9277
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN183525
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN183525
GA
Other
Enumeration date
01/15/2019
Last updated
03/06/2020
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