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Search › Georgia › 106S00000X

Miko Nelson

NPI 1740173681 · on the registry since 2025 · sole proprietor

Practice

Address
5140 Memorial Dr
Stone Mountain, GA 30083
Phone
(510) 402-7017
Organisation at this address
Amani Women Center Inc
Solid Foundation Christian Academy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia