# MILLER FAMILY PRACTICE, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073723680
- **Authorized official:** DR. CONRAD N. MILLER JR. M.D. (PRESIDENT)
- **Authorized official phone:** (478) 745-7878

## Contact information

- **Practice address:** 1818 FORSYTH STREET, SUITE 200, MACON, GA 31201-1636
- **Practice address phone:** (478) 745-7878
- **Practice address fax:** (478) 745-1636
- **Mailing address:** P.O. BOX 28170, MACON, GA 31221-8170
- **Mailing address phone:** (478) 254-5943
- **Mailing address fax:** (478) 254-6093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 040962 | GA | Yes |
| 208D00000X | General Practice Physician | GA 040963 | GA | — |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 03/07/2023