Individual
LAURA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
764 PINE ST, MACON, GA 31201-2107
(478) 633-1721
(478) 633-2316
Mailing address
764 PINE ST, MACON, GA 31201-2107
(478) 633-1721
(478) 633-2316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
009658
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2016
Last updated
07/21/2022
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