Individual
WILLIAM RYAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216-4505
(601) 984-5570
Mailing address
1227 PIN OAK DR, APT E9, FLOWOOD, MS 39232-9702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-2578
MS
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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