Healthcare Provider Details

I. General information

NPI: 1912853086
Provider Name (Legal Business Name): ANGELA RENEE MILLER CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 JIMMY CARTER BLVD APT 224
NORCROSS GA
30093-5275
US

IV. Provider business mailing address

4350 JIMMY CARTER BLVD APT 224
NORCROSS GA
30093-5275
US

V. Phone/Fax

Practice location:
  • Phone: 281-846-5625
  • Fax:
Mailing address:
  • Phone: 281-846-5625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: