Jack W Miller
NPI #1982708368 in Carrollton, Georgia
Provider Information
- NPI Number
- 1982708368
- Entity Type
- Organization
- Organization Name
- Jack W Miller
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Sep 7, 2006
- Last Updated
- Feb 2, 2011
Practice Location
- Address
- 100 PROFESSIONAL PL
- Address 2
- STE 104
- City
- Carrollton
- State
- Georgia
- ZIP Code
- 30117-3874
- Phone
- (770) 830-7039
Authorized Official
- Name
- DR. JACK W MILLER, MD
- Title
- PHYSICIAN
- Phone
- (770) 830-7039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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