Individual
MARK J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4141 HIGHWAY 11, RISING FAWN, GA 30738-4633
(770) 316-4867
Mailing address
4141 HIGHWAY 11, RISING FAWN, GA 30738-4633
(770) 316-4867
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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