Individual
MARIBEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
437 E LOUISE ST, CLARKESVILLE, GA 30523-6106
(706) 754-5437
(706) 754-6959
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047731
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000906408G
—
GA
Enumeration date
11/01/2006
Last updated
10/27/2020
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