Individual
MILES GILBREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
Mailing address
1649 HOMESTEAD AVE NE, ATLANTA, GA 30306-3131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9533
GA
Other
Enumeration date
09/09/2018
Last updated
01/14/2022
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