Individual
KENT GERARD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 JESSE JEWELL PKWY SE STE 230, GAINESVILLE, GA 30501-3713
(770) 532-4477
(770) 287-9863
Mailing address
P.O. BOX 3363, GAINESVILLE, GA 30503
(770) 532-4477
(770) 287-9863
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
031636
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428513C
—
GA
Enumeration date
01/24/2007
Last updated
02/10/2021
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