Individual
GARY MICHAEL MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 TOWNE LAKE PKWY, BLDG 200 STE 110, WOODSTOCK, GA 30189
(770) 591-9190
(770) 591-9196
Mailing address
2230 TOWNE LAKE PKWY, BLDG 200 STE 110, WOODSTOCK, GA 30189
(770) 591-9190
(770) 591-9196
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
024844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265559F
—
GA
Enumeration date
05/22/2006
Last updated
07/08/2007
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