Individual
PAMELA G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1805 VERNON RD, SUITE C, LAGRANGE, GA 30240-3871
(706) 812-9902
Mailing address
138 CHANDLERS RUN, NEWNAN, GA 30263-6196
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN161397 CRNA
GA
367500000X
Certified Registered Nurse Anesthetist
TMP141143
KS
Other
Enumeration date
04/02/2009
Last updated
06/14/2012
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