Healthcare Provider Details

I. General information

NPI: 1487346748
Provider Name (Legal Business Name): TAYLOR DAWN MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

1798 SPRINGHAVEN CIR NE
MASSILLON OH
44646-2571
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3666
  • Fax:
Mailing address:
  • Phone: 412-996-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT228526
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: