Individual
DR. DAVID A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 E JACKSON ST, THOMASVILLE, GA 31792-4694
(229) 226-8850
(229) 226-8897
Mailing address
421 E JACKSON ST, THOMASVILLE, GA 31792-4694
(229) 226-8850
(229) 226-8897
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
041896
GA
208100000X
Physical Medicine & Rehabilitation Physician
ME119141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000709112A
PEACH STATE
GA
05
—
000709112A
—
GA
01
—
260030605
RAILROAD MEDICARE
GA
01
—
340967
WELLCARE
GA
Enumeration date
01/30/2006
Last updated
07/07/2021
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