Organization
GEORGE M MILLER JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M MILLER JR. MD (PRESIDENT)
(662) 226-7540
Entity
Organization
Contact information
Practice address
1300 SUNSET DR, SUITE R, GRENADA, MS 38901-4086
(662) 226-7540
(662) 226-6268
Mailing address
1300 SUNSET DR, SUITE R, GRENADA, MS 38901-4086
(662) 226-7540
(662) 226-6268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17647
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016121
—
MS
Enumeration date
08/16/2006
Last updated
08/22/2020
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