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Organization

GEORGE L MILLER III, PSY.D

Active
Other names
Psychologist Office
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELINA MADRID (OFFICE MANAGER)
(912) 447-5530
Entity
Organization

Contact information

Practice address
408 E BOLTON ST, SAVANNAH, GA 31401-5920
(912) 447-5530
(912) 447-4613
Mailing address
408 E BOLTON ST, SAVANNAH, GA 31401-5920
(912) 447-5530
(912) 447-4613

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC008244
GA
101YP2500X
Professional Counselor
LPC008245
GA
103TC0700X
Clinical Psychologist
Primary
PSY002167
GA
106H00000X
Marriage & Family Therapist
MFT001080
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003182270A
GA
Enumeration date
12/07/2017
Last updated
06/16/2018
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