Individual
DR. PATRICIA A. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 HOSPITAL DR., TYLERTOWN, MS 39667-2020
(601) 876-5835
(601) 876-0653
Mailing address
200 HOSPITAL DR, TYLERTOWN, MS 39667-2020
(601) 876-5835
(601) 876-0653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17776
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126491
—
MS
Enumeration date
06/15/2006
Last updated
11/05/2015
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