Individual
CHEALON D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
067830
GA
390200000X
Student in an Organized Health Care Education/Training Program
0116018759
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126579A
—
GA
Enumeration date
05/14/2007
Last updated
10/10/2012
Update your record
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