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Organization
MILLER TRANSPORTATION
Active
Organization
MILLER TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODERICK MILLER (OWNER)
(612) 413-9455
Entity
Organization
Contact information
Practice address
771 CARVER CIR, GREENVILLE, MS 38701-2205
(612) 413-9455
Mailing address
771 CARVER CIR, GREENVILLE, MS 38701-2205
(612) 413-9455
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
425573465
MS
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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