Individual
ANGELLA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 CARRINGTON LN, DOUGLASVILLE, GA 30135-6712
(404) 625-9203
Mailing address
3751 MONTICELLO ST, DOUGLASVILLE, GA 30135-7722
(404) 625-9203
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PHCP010353
GA
Other
Enumeration date
09/29/2020
Last updated
03/08/2023
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