Healthcare Provider Details

I. General information

NPI: 1013843721
Provider Name (Legal Business Name): DR. MINDI MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 BALL MILL PL
SANDY SPRINGS GA
30350-4319
US

IV. Provider business mailing address

28 BALL MILL PL
SANDY SPRINGS GA
30350-4319
US

V. Phone/Fax

Practice location:
  • Phone: 770-551-7021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number018211
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: