Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 015401 | GA |
NPI | 1023016946 |
---|---|
Provider Name | Dr. James S Miller |
First Address | Athens, GA 30606-2179 |
Second Address | Athens, GA 30606-2797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 02/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000116223F | (05) | GA |
000116223G | (05) | GA |
000116223H | (05) | GA |
000116223I | (05) | GA |
000116223J | (05) | GA |
000116223K | (05) | GA |
000116223L | (05) | GA |
00116223A | (05) | GA |
00721 | BLUE SHIELD (01) | GA |
060014201 | RAILRAOD MEDICARE (01) | GA |
1265576 | UNITED HEALTHCARE (01) | GA |
5246017 | AETNA (01) | GA |
D46142 | (02) | GA |