Most Relevant Information
Provider Data
| NPI Number: | 1003410382 |
| Provider Name: | DEIDRE MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 013853 |
Most Important Dates
| Enumeration Date: | 11/26/2020 |
| Last Updated: | 11/26/2020 |
Provider Practice Location
2237 CASCADE RD SW
ATLANTA
GA
303112832
Practice Location Phone/Fax
| Phone: | 4047565591 |
| Fax: |
Provider Mailing Location
2237 CASCADE RD SW
ATLANTA
GA
303112832
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |