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Individual

AMY LYNN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
890 NORTHWOODS PLAZA/BURRUS ROAD, MACON, GA 31204
(478) 330-7164
Mailing address
398 OLD UNION GIN RD, FORSYTH, GA 31029-3709
(724) 456-9543

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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