Organization
MFP MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD MILLER JR. MD (OWNER)
(478) 745-7878
Entity
Organization
Contact information
Practice address
1818 FORSYTH ST STE 200, MACON, GA 31201-1170
(478) 745-7878
(478) 745-1636
Mailing address
1818 FORSYTH ST STE 200, MACON, GA 31201-1170
(478) 745-7878
(478) 745-1636
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000684615G
—
GA
Enumeration date
02/10/2022
Last updated
02/10/2022
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