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NPI Code Detail

MEDICARE: EMILY CORISH MILLER FNP-C

MEDICARE: EMILY CORISH MILLER FNP-C
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
1363LF0000XFamily Nurse PractitionerRN228448GA

General Provider Information

NPI Number : 1942761424
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CORISH MILLER FNP-C
Provider Business Mailing Address
First Line : 3583 WESTHAMPTON DR
Second Line :
City : MARTINEZ
State : GA
Zip : 30907-3033
Country : US
Telephone Number : 912-224-9553
Fax Number :
Provider Business Practice Location Address
First Line : 3727 EXECUTIVE CENTER DR
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-2398
Country : US
Telephone Number : 706-842-5331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 03/27/2019

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Directions to “ EMILY CORISH MILLER FNP-C” Practice Location

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