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Individual

DR. DONNA LEIGH STEWART MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1121 JOHNSON FERRY RD, STE 100A, MARIETTA, GA 30068-5425
(770) 509-1025
(770) 509-1884
Mailing address
1121 JOHNSON FERRY RD, STE 100A, MARIETTA, GA 30068-5425
(770) 509-1025
(770) 509-1884

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
000855
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
479278038R
GA
05
479278038S
GA
05
479278038T
GA
05
479278038U
GA
Enumeration date
05/11/2007
Last updated
03/01/2017
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