Organization
LYLES AND CRAWFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MCMILLIAN (ADMINISTRATOR)
(770) 993-0051
Entity
Organization
Contact information
Practice address
11111 HOUZE RD, SUITE 320, ROSWELL, GA 30076-5663
(770) 993-0051
(770) 993-0052
Mailing address
11111 HOUZE RD, SUITE 320, ROSWELL, GA 30076-5663
(770) 993-0051
(770) 993-0052
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29032
GA
Other
Enumeration date
12/27/2007
Last updated
02/22/2008
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