Individual
DR. BRENT E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
410 E WARD ST, DOUGLAS, GA 31533
(912) 384-2608
(912) 383-8018
Mailing address
410 E WARD ST, DOUGLAS, GA 31533
(912) 384-2608
(912) 383-8018
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00072201A
—
GA
Enumeration date
12/01/2006
Last updated
07/08/2007
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