Individual
JORDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 PROFESSIONAL DR STE 120, LAWRENCEVILLE, GA 30046-7638
(770) 740-1860
(678) 347-2104
Mailing address
925 N POINT PKWY STE 130, ALPHARETTA, GA 30005-5211
(770) 740-1860
(678) 347-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008868
GA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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