Individual
JACK L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 COBB PKWY N, SUITE 400, MARIETTA, GA 30062-3581
(615) 778-4066
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
024987
GA
Other
Enumeration date
03/21/2007
Last updated
10/22/2009
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