MEDICARE: DEIDRE MILLER

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	183500000X	Pharmacist	013853	GA

General Provider Information

NPI Number	:	1003410382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEIDRE MILLER

Provider Business Mailing Address
First Line	:	2237 CASCADE RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-2832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2237 CASCADE RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-2832
Country	:	US
Telephone Number	:	404-756-5591
Fax Number	:

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

Provider Enumeration Date	:	11/26/2020
Last Update Date	:	11/26/2020

Similar Medicare Providers

1902903495 — GEORGIA CVS PHARMACY LLC
Practice Location Address:

2237 CASCADE RD SW
ATLANTA, GA
30311-2832

Practice Phone: 404-756-5591
Practice Fax:

1639792930 — CADESIA GAIL IRVIN PHARMD
Practice Location Address:

2237 CASCADE RD SW
ATLANTA, GA
30311-2832

Practice Phone: 404-756-5591
Practice Fax:

1861536955 — DEKALB COMMUNITY SERVICE BOARD
Practice Location Address:

2660 OSBORNE RD NE
ATLANTA, GA
30319-2832

Practice Phone: 404-231-9363
Practice Fax:

1801918131 — MS. SALLY DEAVER REED LMSW
Practice Location Address:

2660 OSBORNE RD NE
ATLANTA, GA
30319-2832

Practice Phone: 404-231-9363
Practice Fax: 404-231-9569

1114142544 — MS. GEERTRUIDA CORNELIA DISSELDORP RN
Practice Location Address:

2660 OSBORNE RD NE
ATLANTA, GA
30319-2832

Practice Phone: 404-231-9363
Practice Fax: 404-231-9569

1740406867 — MRS. JOAN C REDDING LPN
Practice Location Address:

2660 OSBORNE RD NE
ATLANTA, GA
30319-2832

Practice Phone: 404-231-9363
Practice Fax: 404-231-9569

Directions to “ DEIDRE MILLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.