Provider Demographics
NPI:1376848200
Name:MILNER, ABENA (RPH)
Entity Type:Individual
Prefix:
First Name:ABENA
Middle Name:
Last Name:MILNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 PEACHTREE RD NW
Mailing Address - Street 2:#162
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2918
Mailing Address - Country:US
Mailing Address - Phone:478-238-1310
Mailing Address - Fax:
Practice Address - Street 1:2870 PEACHTREE RD NW
Practice Address - Street 2:#162
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2918
Practice Address - Country:US
Practice Address - Phone:478-238-1310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist