Individual
JEFFREY MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
517 MAGGIE LN, JONESBORO, GA 30238-3405
(470) 999-4009
Mailing address
3645 MARKETPLACE BLVD, ATLANTA, GA 30344-5747
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PHCP011795
GA
Other
Enumeration date
11/03/2023
Last updated
11/04/2023
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