Individual
DR. ETHAN ANDREW MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MARTIN ARMY COMMUNITY HOSPITAL, FORT BENNING, GA 31905
(706) 545-4340
Mailing address
1646 WILDWOOD AVE, COLUMBUS, GA 31906-2025
(706) 575-2095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A90114
CA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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