Individual
DR. CONRAD N. MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 FORSYTH STREET, SUITE 200, MACON, GA 31201-1636
(478) 745-1818
(478) 745-1636
Mailing address
PO BOX 4624, MACON, GA 31208-4624
(478) 745-7878
(478) 745-1636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000684615G
PEACH STATE HEALTH PLANS OF GEORGIA
GA
05
—
000684615G
—
GA
01
—
08BBRPX
GEORGIA BETTER HEALTHCARE
GA
01
—
297072
GHI
GA
01
—
808257
BLUE CROSS BLUE SHIELD OF GEORGIA
GA
01
—
P00187716
MEDICARE RAILROAD
GA
Enumeration date
11/13/2006
Last updated
04/03/2023
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