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Individual

JANE C MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4740 SI- 10 SERVICE RD, STE 340, METAIRIE, LA 70001
(504) 455-0004
(504) 455-0097
Mailing address
4740 S I 10 SERVICE RD W, STE 340, METAIRIE, LA 70001-1234
(504) 455-0004
(504) 455-0097

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
015455
LA
207VX0000X
Obstetrics Physician
Primary
015455
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1329347
LA
Enumeration date
03/30/2006
Last updated
10/21/2015
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