Individual
CAROLD JASON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 RIVER BEND PLACE, SUITE C, FLOWOOD, MS 39232
(601) 957-7345
(769) 251-5429
Mailing address
PO BOX 320039, FLOWOOD, MS 39232
(601) 957-7345
(769) 251-5924
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
12141
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122949
—
MS
05
—
0122949
—
MS
Enumeration date
10/27/2006
Last updated
04/17/2015
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