Individual
MR. JAMES ALVIN MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JAY STREET, STANFORD, KY 40484-7511
(606) 365-1547
(606) 365-8380
Mailing address
PO BOX 330, STANFORD, KY 40484-0330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23970
KY
207Q00000X
Family Medicine Physician
Primary
23970
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64239700
—
KY
Enumeration date
06/14/2006
Last updated
10/04/2023
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