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Individual

GREGORY SCOTT MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8751 SULLIVAN RD, BATON ROUGE, LA 70818-6014
(225) 262-8377
Mailing address
209 JEAN VIDRINE DR, VILLE PLATTE, LA 70586-5730

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
306987
LA

Other

Enumeration date
09/11/2017
Last updated
09/11/2017
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