Individual
REBEKAH MILDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
440 WASHINGTON ST SE, GAINESVILLE, GA 30501-3619
(770) 532-9250
Mailing address
440 WASHINGTON ST SE, GAINESVILLE, GA 30501-3619
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN159744
GA
Other
Enumeration date
07/29/2015
Last updated
07/22/2016
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