MEDICARE: ANNETTE M MILES MD MPH

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	207VM0101X	Maternal & Fetal Medicine Physician	049066	GA

General Provider Information

NPI Number	:	1588779896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE M MILES MD MPH

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:	NINE PIEDMONT CENTER
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	404-364-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 PEACHTREE ST NE
Second Line	:	SU
City	:	ATLANTA
State	:	GA
Zip	:	30309-2410
Country	:	US
Telephone Number	:	404-888-7664
Fax Number	:

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	01/13/2022

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