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Individual

DR. JACQUELIN ANN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9777 ROME BLVD, SUMMERVILLE, GA 30747-1629
(706) 368-8899
(706) 784-9389
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
043098
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000762374N
GA
01
P00313540
RAILROAD MEDICARE
GA
Enumeration date
05/24/2006
Last updated
04/29/2026
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