IndividualActive
Radiant Miller, PTCB, PCA
NPI 1700521564 · Voluntary or Charitable Agency · Atlanta, GA
Provider details
- NPI number
- 1700521564
- Entity type
- Individual
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Credential
- PTCB, PCA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
5801 Riverdale Rd Apt 48l
Atlanta, GA 30349-6878
Phone: (678) 973-5791
Approximate (ZIP-level) locationGet directions
Mailing address
5801 Riverdale Rd Apt 48l
Atlanta, GA 30349-6878
Registry dates
- Enumerated
- 2022-05-04
- Last updated
- 2022-05-22
- Certified
- 2022-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.