Miller, Michael S.

Miller, Michael S. is an individual health care provider with primary practice located at 1610 Mulkey Rd , Austell GA 30106-1182. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Miller, Michael S. can be contacted via phone (770) 941-3633.

Contact Information

Primary practice address
1610 Mulkey Rd Austell GA 30106-1182
Phone: (770) 941-3633
Fax: (770) 874-8950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD000776 Georgia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000776 Georgia

Profile Details

NPI number 1104816941
LBN Legal business name Miller, Michael S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 7th, 2023 - about 3 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 1104816941 NPPES
Louisiana MEDICAID 1756393
Louisiana MEDICAID 362436212A

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