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Individual

TIMOTHY W MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA-C

Contact information

Practice address
3100 KEMBLE AVE, BRUNSWICK, GA 31520-4211
(912) 264-2929
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1821
GA
367H00000X
Anesthesiologist Assistant
Primary
AA753
FL

Other

Enumeration date
10/23/2008
Last updated
03/13/2023
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