Organization
FAMILY PRACTITIONERS OF GLYNN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KOTZ MILLER M.D. (OWNER, PHYSICIAN)
(912) 267-4900
Entity
Organization
Contact information
Practice address
390 EH CT, BRUNSWICK, GA 31520-2198
(912) 267-4900
(912) 267-4960
Mailing address
390 EH CT, BRUNSWICK, GA 31520-2198
(912) 267-4900
(912) 267-4960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
029657
GA
207Q00000X
Family Medicine Physician
040739
GA
207Q00000X
Family Medicine Physician
Primary
046996
GA
207Q00000X
Family Medicine Physician
051731
GA
207Q00000X
Family Medicine Physician
052698
GA
207Q00000X
Family Medicine Physician
056735
GA
Other
Enumeration date
01/10/2007
Last updated
03/17/2011
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