MEDICARE: DR. GEORGE ANTHONY MILLER MD

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	174400000X	Specialist	11044R	LA
2	207RC0000X	Cardiovascular Disease Physician	56901	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588662753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE ANTHONY MILLER MD

Provider Business Mailing Address
First Line	:	2300 MANCHESTER EXPY STE 1003
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6877
Country	:	US
Telephone Number	:	706-323-5552
Fax Number	:	706-324-5695

Provider Business Practice Location Address
First Line	:	2300 MANCHESTER EXPY STE 1003
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6877
Country	:	US
Telephone Number	:	706-323-5552
Fax Number	:	706-324-5695

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	05/08/2020

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Directions to “ DR. GEORGE ANTHONY MILLER MD” Practice Location

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