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Individual

MR. JAMES LINDSAY CROSS MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
DDEAMC, GASTROENTEROLOGY CLINIC, MCL, BLDG #300, FT. GORDON, GA 30905
(706) 787-8600
(706) 787-2409
Mailing address
4802 DOE RUN, EVANS, GA 30809-6204
(706) 869-8073
(706) 869-8073

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01934
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA01934
LICENSE NUMBERE
TX
Enumeration date
12/08/2006
Last updated
07/08/2007
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