Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 34.011660 | OH |
N | 207Q00000X | Family Doctor | 34011660 | OH |
NPI | 1245551498 |
---|---|
Provider Name | Eric Britain Miller |
First Address | Marietta, OH 45750-0449 |
Second Address | Athens, OH 45701-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 02/12/2021 |