Miles, Johnny

Miles, Johnny is an individual health care provider with primary practice located at 1041 S Madison St , Tupelo MS 38801-6309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Miles, Johnny can be contacted via phone (662) 844-8754.

Contact Information

Primary practice address
1041 S Madison St Tupelo MS 38801-6309
Phone: (662) 844-8754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11388 Mississippi

Profile Details

NPI number 1487677514
LBN Legal business name Miles, Johnny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487677514 NPPES
Mississippi MEDICAID 0115779

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