Organization
MILLER FAMILY PRACTICE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD N. MILLER JR. M.D. (PRESIDENT)
(478) 745-7878
Entity
Organization
Contact information
Practice address
1818 FORSYTH STREET, SUITE 200, MACON, GA 31201-1636
(478) 745-7878
(478) 745-1636
Mailing address
P.O. BOX 28170, MACON, GA 31221-8170
(478) 254-5943
(478) 254-6093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040962
GA
208D00000X
General Practice Physician
GA 040963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000684615G
—
GA
01
—
DC7439
MEDICARE RAILROAD
GA
Enumeration date
05/23/2007
Last updated
03/07/2023
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