Individual
RONALD BOA MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
4402 E ALOHA DR, DIAMONDHEAD, MS 39525-3349
(228) 364-9001
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R880596
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05579539
—
MS
Enumeration date
03/02/2013
Last updated
11/21/2022
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