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Individual

MICHAEL MILLER LAYMAC I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3000 CELEBRATION BLVD, SUWANEE, GA 30024-1054
(404) 991-5753
Mailing address
2050 LANIER HEIGHTS DR, CUMMING, GA 30041-9129
(678) 736-1055

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004771
GA

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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