Individual
CHANDRA MAREA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4019 EXECUTIVE DRIVE, OAKWOOD, GA 30566-3433
(770) 533-6500
(770) 533-6543
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10033004
AMERIGROUP
GA
01
—
1201908
UNITED HEALTHCARE
GA
01
—
2380879
CIGNA
GA
01
—
302582
WELLCARE
GA
01
—
302583
WELLCARE
GA
01
—
302584
WELLCARE
GA
01
—
302585
WELLCARE
GA
01
—
52887375
BCBS
GA
01
—
531457
WELLCARE
GA
05
—
716964757A
—
GA
05
—
716964757B
—
GA
05
—
716964757C
—
GA
05
—
716964757D
—
GA
05
—
716964757E
—
GA
01
—
7747589
AETNA
GA
Enumeration date
01/23/2006
Last updated
08/17/2023
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