Individual
JOHN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2781 C T SWITZER SR DR, BILOXI, MS 39531-4536
(228) 248-2480
(228) 248-2484
Mailing address
PO BOX 7137, GULFPORT, MS 39506-7137
(228) 248-2480
(228) 248-2484
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
012863
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125370
—
MS
01
—
P00608339
RAILROAD MEDICARE
—
Enumeration date
02/24/2006
Last updated
01/06/2010
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