Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN6071 | FL |
N | 1223G0001X | General Practice | DN6071 | FL |
N | 213EG0000X | General Practice | DN6071 | FL |
NPI | 1164543393 |
---|---|
Provider Name | Dr. George Creed Miller |
First Address | Naples, FL 34106-0429 |
Second Address | Naples, FL 34112-3969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 14/12/2007 |