MEDICARE: SHARON L MILLER DO

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	207RG0100X	Gastroenterology Physician	0S006287L	PA
2	207R00000X	Internal Medicine Physician	OS006287L	PA

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	:	1982647483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON L MILLER DO

Provider Business Mailing Address
First Line	:	752 BROOKSHIRE DR STE E
Second Line	:
City	:	HERMITAGE
State	:	PA
Zip	:	16148-4510
Country	:	US
Telephone Number	:	724-981-8883
Fax Number	:	724-981-7620

Provider Business Practice Location Address
First Line	:	752 BROOKSHIRE DR
Second Line	:	SUITE E
City	:	HERMITAGE
State	:	PA
Zip	:	16148-4510
Country	:	US
Telephone Number	:	724-981-8883
Fax Number	:	724-981-7620

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	06/30/2021

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Directions to “ SHARON L MILLER DO” Practice Location

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