Individual
AMY CHANDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 UNION BELLE BLVD, SALTILLO, MS 38866-9771
(662) 869-3042
(662) 869-3405
Mailing address
110 UNION BELLE BLVD, SALTILLO, MS 38866-9771
(662) 869-3042
(662) 869-3405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19142
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640662976
TAX IDENTIFICATION NUMBER
MS
Enumeration date
09/26/2006
Last updated
03/19/2014
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