Miller, Samuel Jones
Miller, Samuel Jones is an individual health care provider with primary practice located at 1602 Vernon Rd Suite 200, Lagrange GA 30240-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Miller, Samuel Jones can be contacted via phone (706) 884-6026.Contact Information
Primary practice address
1602 Vernon Rd Suite 200
Lagrange GA 30240-4129
Phone: (706) 884-6026
Fax: (706) 884-0433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 021551 | Georgia |
Profile Details
| NPI number | 1376632786 |
|---|---|
| LBN Legal business name | Miller, Samuel Jones |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 13th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376632786 | NPPES |
| Georgia | MEDICAID | 000201572F |
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