Jerry Allan Miller in Augusta - Adolescent Medicine
Jerry Allan Miller - NPI 1679534762
Jerry Allan Miller is a Adolescent Medicine in Augusta, Georgia. Jerry Allan Miller practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jerry Allan Miller is 1679534762. The last update date is 2016-03-18.
Jerry Allan Miller's current location address is 1245 Augusta West Pkwy, Augusta, Georgia. You can contact this provider via phone number 7068680389 and fax number 7066510729. The mailing address for Jerry Allan Miller is 1245 Augusta West Pkwy, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Allan Miller |
|---|---|
| Address | 1245 Augusta West Pkwy, Augusta, Georgia |
| Phone Number | 7068680389 |
| Fax Number | 7066510729 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679534762 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2016-03-18 |
Provider Mailing Address Detail
| Address | 1245 Augusta West Pkwy |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309091807 |
| Phone Number | 7068680389 |
| Fax Number | 7066510729 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 18708 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000199746C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry Allan Miller by the Centers for Medicare & Medicaid Services?
The Jerry Allan Miller has been assigned the NPI (National Provider Identifier) 1679534762. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerry Allan Miller is physically located?
The Jerry Allan Miller is physically situated at the following address: 1245 Augusta West Pkwy, Augusta, GA, 309091807.
What is Jerry Allan Miller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Allan Miller is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Jerry Allan Miller receive the assignment of its 1679534762 from the Centers for Medicare & Medicaid Services?
The Jerry Allan Miller was issued its 1679534762 by the Centers for Medicare & Medicaid Services on 2006-03-29.
As of what date were the details pertaining to Jerry Allan Miller last refreshed?
The information related to the Jerry Allan Miller, including its address, specialty, and other relevant details, was last updated on 2016-03-18.