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Contact Information

MILLIE BRABHAM
260 ELM ST
CUMMING, GA30040-2467
 Phone: 770-887-1668
 Fax: 770-781-9937
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for MILLIE BRABHAM · (Female)

NPI Number 1760076046
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2021
Last updated 07/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 236755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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