JACK L MILLER M.D. NPI 1801912191

NPI Information

Jack L Miller, M.D. is a preventive medicine/occupational environmental medicine preventive medicine in Marietta, GA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Jack L Miller, M.D. NPI is 1801912191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

220 COBB PKWY N
SUITE 400
MARIETTA, GA
ZIP 30062-581
Phone: (615) 778-4066

The NPI 1801912191 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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