Individual
DR. DEBRA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-5600
(770) 339-2135
Mailing address
631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046-3370
(770) 963-8030
(770) 339-9577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
041898
GA
207RH0003X
Hematology & Oncology Physician
Primary
041898
GA
207RH0003X
Hematology & Oncology Physician
2013-01738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00720167A
—
NC
Enumeration date
06/14/2005
Last updated
06/16/2018
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