Individual
SAMUEL JONES MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 VERNON RD, SUITE 200, LAGRANGE, GA 30240-4129
(706) 884-6026
(706) 884-0433
Mailing address
1602 VERNON RD, SUITE 200, LAGRANGE, GA 30240-4129
(706) 884-6026
(706) 884-0433
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
021551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000201572F
—
GA
Enumeration date
10/12/2006
Last updated
02/13/2012
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