Individual
JAMIE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGICAL FIRST ASSIT
Contact information
Practice address
5233 DIJON DR, BATON ROUGE, LA 70808-4692
(225) 761-8687
(225) 761-8688
Mailing address
5233 DIJON DR, BATON ROUGE, LA 70808-4692
(225) 761-8687
(225) 761-8688
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201440
—
LA
Enumeration date
05/17/2021
Last updated
05/17/2021
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