Healthcare Provider Details

I. General information

NPI: 1093815276
Provider Name (Legal Business Name): HEATHER STRICKLAND MILLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 S MAIN ST
BAXLEY GA
31513-0164
US

IV. Provider business mailing address

440 MALL BLVD STE C
SAVANNAH GA
31406-4868
US

V. Phone/Fax

Practice location:
  • Phone: 912-750-8040
  • Fax:
Mailing address:
  • Phone: 912-644-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number004875
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: