Organization
DAVID S. MILLER, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S. MILLER M.D. (OWNER)
(601) 366-6606
Entity
Organization
Contact information
Practice address
971 LAKELAND DR, SUITE 1252, JACKSON, MS 39216-4643
(601) 366-6606
(601) 366-6647
Mailing address
971 LAKELAND DR, SUITE 1252, JACKSON, MS 39216-4643
(601) 366-6606
(601) 366-6647
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15802
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05650361
—
MS
01
—
CG1380
RR MEDICARE
MS
Enumeration date
08/16/2006
Last updated
04/28/2008
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