Individual
AUTUMN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
30 COTTONWOOD ST, CLAYTON, GA 30525-4295
(706) 782-7040
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203022
GA
Other
Enumeration date
07/27/2016
Last updated
01/14/2021
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