Miller, Andre

Miller, Andre is an individual health care provider with primary practice located at 2357 Tobacco Rd , Augusta GA 30906-9220. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Miller, Andre can be contacted via phone (706) 722-3855.

Contact Information

Primary practice address
2357 Tobacco Rd Augusta GA 30906-9220
Phone: (706) 722-3855
Fax: (706) 798-3795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X NTP001004 Georgia

Profile Details

NPI number 1295388965
LBN Legal business name Miller, Andre
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - about 6 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 1295388965 NPPES
Georgia Other NTP001004 AUGUSTA METRO TREATMENT CENTER

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