# MILLER FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SLIDELL MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356560528
- **Legal business name:** SLIDELL MEMORIAL HOSPITAL
- **Authorized official:** MS. STEPHANIE H QUICK (DIRECTOR, SMH PHYSICIANS NETWORK)
- **Authorized official phone:** (985) 649-8873

## Contact information

- **Practice address:** 1001 GAUSE BLVD, BOX 75, SLIDELL, LA 70458-2939
- **Practice address phone:** (985) 639-8970
- **Practice address fax:** (985) 639-8971
- **Mailing address:** 140 E I 10 SERVICE RD, SLIDELL, LA 70461-3564
- **Mailing address phone:** (985) 847-9909
- **Mailing address fax:** (985) 847-9902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12706R | LA | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/02/2010