Individual
DR. JACQUELINE WHITE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, SURGICAL SERVICES, DECATUR, GA 30033-4004
(770) 488-5061
(770) 488-4639
Mailing address
105 TANA DR, FAYETTEVILLE, GA 30214-7538
(770) 488-5061
(770) 488-4639
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
038648
GA
Other
Enumeration date
08/20/2006
Last updated
12/07/2010
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