Individual
SHARON A MILINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205A OLD PERRY RD, BONAIRE, GA 31005-3718
(478) 714-4651
Mailing address
205A OLD PERRY RD, BONAIRE, GA 31005-3718
(478) 714-4651
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT006539
STATE OF GEORGIA
GA
Enumeration date
07/30/2020
Last updated
07/30/2020
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