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Contact Information

DEREK R MILLER
5109 HORSESHOE COVE RD
BLAIRSVILLE, GA30512-7530
 Phone: 706-202-2492
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care

2279C0205X
Indicates primary specialty

NPI Profile & details for DEREK R MILLER · (Male)

NPI Number 1467648808
Status Active
Credentials
Entity Individual
Enumeration date 09/19/2007
Last updated 09/19/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 003990
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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