Individual
JESSICA BETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6300 HOSPITAL PKWY, SUITE 400, JOHNS CREEK, GA 30097-1828
(678) 205-4261
(678) 417-7187
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009414
GA
225100000X
Physical Therapist
PT29814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00785965
RR MEDICARE
GA
Enumeration date
04/18/2007
Last updated
06/03/2014
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