Individual
DWIGHT H. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
791 OAK ST, HAPEVILLE, GA 30354-1748
(404) 601-2000
(404) 559-0806
Mailing address
791 OAK ST, HAPEVILLE, GA 30354-1748
(404) 601-2000
(404) 559-0806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002550
GU
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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