Individual
MS. ANGELA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 SMITH DR, VALDOSTA, GA 31601-6471
(229) 242-8435
(229) 241-8196
Mailing address
612 SMITH DR, VALDOSTA, GA 31601-6471
(229) 242-8435
(229) 241-8196
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
EIN 26-2449345
GA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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