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Individual

JERI L. MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
908 HILLCREST PKWY, DUBLIN, GA 31021
(478) 272-7411
(478) 274-9809
Mailing address
908 HILLCREST PKWY., DUBLIN, GA 31021
(478) 272-7411
(478) 274-9809

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30835
GA
207Q00000X
Family Medicine Physician
Primary
30835
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000458147Q
GA
05
000458147S
GA
Enumeration date
06/12/2006
Last updated
11/05/2013
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