Individual
MS. DANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5604
(912) 435-6666
Mailing address
30 VINEYARD HAVEN DR, POOLER, GA 31322-8216
(912) 920-2182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00376
KS
Other
Enumeration date
07/18/2005
Last updated
02/03/2016
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