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1104586098
MICHAEL MILLICAN
NEWNAN, GA
NPI
1104586098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 10856)
Enumeration Date
2021-12-20
Last Update Date
2024-02-05
Business Address
MICHAEL MILLICAN
1825 HIGHWAY 34 E
NEWNAN, GA 30265-6423
Phone number: 770-502-2121
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Mailing Address
MICHAEL MILLICAN
145 LAKE PARK CT
SHARPSBURG, GA 30277-2164
Phone number: 770-362-2569
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