Individual
DR. JACOB W. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
155 KINGSLEY LN, SUITE 400, NORFOLK, VA 23505-4629
(757) 278-2240
(757) 489-6469
Mailing address
155 KINGSLEY LN, SUITE 400, NORFOLK, VA 23505-4629
(757) 278-2240
(757) 489-6469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102036908
VA
Other
Enumeration date
04/20/2006
Last updated
04/02/2019
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