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Individual

MS. LOIS ELAYNE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 728-4125
Mailing address
1542 IDLEHOUR DR, TUCKER, GA 30084-7807
(770) 270-5422

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
065399
TN

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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