Individual
RICHARD JOHN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 75473, BALTIMORE, MD 21275-5473
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19044
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09621896
—
MS
05
—
1323454
—
LA
01
—
202011213A
BLUE CROSS
MS
Enumeration date
06/08/2006
Last updated
07/25/2025
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