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Individual
DR. HEITH A MILLER
Active
Individual
DR. HEITH A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104556937
VA
111N00000X
Chiropractor
4103
NC
111N00000X
Chiropractor
8729
GA
111N00000X
Chiropractor
Primary
CH10967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015331900
—
FL
01
—
IF771Z
MEDICARE PTAN
FL
Enumeration date
07/27/2010
Last updated
03/30/2016
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