Individual
ELIZABETH A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4720 WATERS AVE, SAVANNAH, GA 31404-6292
(912) 354-4800
(912) 629-5821
Mailing address
PO BOX 102635, ATLANTA, GA 30368-2635
(912) 354-4800
(912) 629-5821
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
029351
GA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
029351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000337972D
MEDICAID - SAVANNAH
GA
05
—
000337972E
—
GA
05
—
000337972F
—
GA
01
—
10053812
AMERIGROUP
GA
01
—
1447299011
MEDICARE RAILROAD
GA
01
—
349805
WELLCARE
GA
01
—
511G701032
MEDICARE GROUP
GA
01
—
52415798-001
BCBS
GA
05
—
G29351
—
SC
01
—
GPA977
MEDICAID GRP. SAV
SC
Enumeration date
06/06/2006
Last updated
01/10/2019
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