Individual
DR. MESA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4060 KURT DR, MACON, GA 31204-5635
(478) 747-5197
Mailing address
4060 KURT DR, MACON, GA 31204-5635
(478) 747-5197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
28711
CA
235Z00000X
Speech-Language Pathologist
5621
OK
235Z00000X
Speech-Language Pathologist
SA15263
FL
235Z00000X
Speech-Language Pathologist
SLP009162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020571900
—
FL
Enumeration date
02/19/2016
Last updated
04/29/2026
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