Individual
JASON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008339
GA
Other
Enumeration date
05/10/2017
Last updated
05/29/2019
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