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NPI Code Detail

MEDICARE: SAMANTHA MILLER

MEDICARE: SAMANTHA MILLER
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
1225100000XPhysical TherapistGA

General Provider Information

NPI Number : 1588593487
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MILLER
Provider Business Mailing Address
First Line : 1405 WEDGEWOOD CT
Second Line :
City : ATLANTA
State : GA
Zip : 30350-2059
Country : US
Telephone Number : 631-682-5773
Fax Number :
Provider Business Practice Location Address
First Line : 2540 WINDY HILL RD SE
Second Line :
City : MARIETTA
State : GA
Zip : 30067-8605
Country : US
Telephone Number : 770-644-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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