Individual
JANICE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
876 TOM ODUM RD, VIDALIA, GA 30474-7105
(912) 245-0299
Mailing address
876 TOM ODUM RD, VIDALIA, GA 30474-7105
(912) 245-0299
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
GA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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