Individual
MR. BRIAN KEITH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4519 DALLAS ACWORTH HWY, DALLAS, GA 30132-7675
(770) 443-4988
(770) 443-4487
Mailing address
1280 COTTON GIN DR, POWDER SPRINGS, GA 30127-6451
(678) 402-8778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022454
GA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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