Individual
LAUREN COURTNEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 CHURCH ST, VIDALIA, GA 30474-4770
(912) 538-8484
(912) 538-8665
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 538-8484
(912) 538-8665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4799
GA
Other
Enumeration date
06/28/2011
Last updated
07/08/2014
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