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Individual

KASEY MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
14244 HIGHWAY 515 N UNIT 100, ELLIJAY, GA 30536-2039
(706) 698-5433
Mailing address
1995 IVY MOUNTAIN RD, HIAWASSEE, GA 30546-4355
(706) 401-2373

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN307169
GA

Other

Enumeration date
05/08/2024
Last updated
05/08/2024
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