Provider Demographics
NPI:1437324472
Name:MILLER, ANDREA J (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:CPNP
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Mailing Address - Street 1:5151 STILESBORO ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152
Mailing Address - Country:US
Mailing Address - Phone:770-424-8222
Mailing Address - Fax:770-424-9962
Practice Address - Street 1:1001 JOHNSON FERRY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1605
Practice Address - Country:US
Practice Address - Phone:404-785-3800
Practice Address - Fax:404-785-3808
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2011-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN170287363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics