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1023016946

NPI Code Detail

MEDICARE: DR. JAMES S MILLER MD

MEDICARE: DR. JAMES S MILLER MD

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	207RC0000X	Cardiovascular Disease Physician	015401	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	060014201	OTHER	GA	RAILRAOD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1265576	OTHER	GA	UNITED HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	00721	OTHER	GA	BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	5246017	OTHER	GA	AETNA

General Provider Information

NPI Number	:	1023016946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S MILLER MD

Provider Business Mailing Address
First Line	:	1500 OGLETHORPE AVE
Second Line	:	SUITE 600F
City	:	ATHENS
State	:	GA
Zip	:	30606-2179
Country	:	US
Telephone Number	:	706-475-4917
Fax Number	:	706-475-4636

Provider Business Practice Location Address
First Line	:	1199 PRINCE AVE
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-2797
Country	:	US
Telephone Number	:	706-475-1700
Fax Number	:	706-546-1787

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	04/02/2014

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Directions to “ DR. JAMES S MILLER MD” 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.

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