Individual
THOMAS JOSEPH MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 E LONG ST, CLAXTON, GA 30417-1412
(912) 290-5235
(912) 290-5236
Mailing address
1140 BRAMPTON AVE, STATESBORO, GA 30458
(912) 290-5235
(912) 290-5236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67685
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124121H
—
GA
Enumeration date
05/03/2010
Last updated
08/08/2023
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