Organization
MILLER FOOT & ANKLE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S MILLER DPM (OWNER)
(770) 386-1234
Entity
Organization
Contact information
Practice address
3450 ACWORTH DUE WEST RD NW, SUITE 320, KENNESAW, GA 30144-1001
(770) 386-1234
(678) 574-5549
Mailing address
3450 ACWORTH DUE WEST RD NW, SUITE 320, KENNESAW, GA 30144-1001
(770) 386-1234
(678) 574-5549
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000776
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362436212A
—
GA
Enumeration date
09/10/2010
Last updated
10/04/2013
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