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Individual

KEVWE MILLER FAKPOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2805 HAMILTON MILL RD, BUFORD, GA 30519-4110
(678) 541-0588
Mailing address
2767 COVE VIEW CT, DACULA, GA 30019-4715
(404) 989-6654

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP61536348
WA
363LF0000X
Family Nurse Practitioner
Primary
RN250526
GA

Other

Enumeration date
06/24/2022
Last updated
06/18/2025
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