Healthcare Provider Details

I. General information

NPI: 1194989863
Provider Name (Legal Business Name): ANGELA L MILLER CFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 E TOWN ST SUITE 110
COLUMBUS OH
43215-4741
US

IV. Provider business mailing address

393 E TOWN ST SUITE 110
COLUMBUS OH
43215-4741
US

V. Phone/Fax

Practice location:
  • Phone: 614-220-5648
  • Fax: 614-220-5649
Mailing address:
  • Phone: 614-220-5648
  • Fax: 614-220-5649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: