Lisa D Miller MD Pediatrics PC

NPI #1659352185 in Covington, Georgia

Provider Information

NPI Number: 1659352185
Entity Type: Organization
Organization Name: Lisa D Miller MD Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Nov 10, 2005
Last Updated: Sep 16, 2008

Practice Location

Address: 4152 BAKER ST NE
City: Covington
State: Georgia
ZIP Code: 30014-1404
Phone: (770) 788-1077

Authorized Official

Name: DR. LISA DAWN MILLER, MD
Title: OWNER/PHYSICIAN
Phone: (770) 788-1077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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