Individual
EILEEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5965
Mailing address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338080
NY
Other
Enumeration date
08/06/2013
Last updated
03/25/2016
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