MEDICARE: FELISHA MILLER RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist	10430	GA

General Provider Information

NPI Number	:	1407707821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELISHA MILLER RRT

Provider Business Mailing Address
First Line	:	430 FALCON WAY
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-0002
Country	:	US
Telephone Number	:	229-392-5370
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 FALCON WAY
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-0002
Country	:	US
Telephone Number	:	229-392-5370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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