Individual
MR. PHILIP KENT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, AA-C
Contact information
Practice address
95 COLLIER RD NW, SUITE 5015, ATLANTA, GA 30309-1796
(404) 605-2800
(404) 351-5983
Mailing address
95 COLLIER RD NW, SUITE 5015, ATLANTA, GA 30309-1796
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001744
GA
367H00000X
Anesthesiologist Assistant
Primary
1744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002471H
—
GA
Enumeration date
08/31/2006
Last updated
03/27/2024
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