Individual
GEORGIA KAYE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1225 E COOLSPRING AVE STE 200, MICHIGAN CITY, IN 46360-6312
(219) 861-8161
(219) 873-9504
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004149A
IN
Other
Enumeration date
06/13/2023
Last updated
10/09/2023
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