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NPI Code Detail

MEDICARE: SUSAN RENEE MILLER P.T.

MEDICARE: SUSAN RENEE MILLER P.T.
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
1225100000XPhysical TherapistPT006753GA

General Provider Information

NPI Number : 1053510917
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN RENEE MILLER P.T.
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 3790 PLEASANT HILL RD STE 100
Second Line :
City : DULUTH
State : GA
Zip : 30096-5143
Country : US
Telephone Number : 770-497-4228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 06/19/2026

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Directions to “ SUSAN RENEE MILLER P.T.” Practice Location

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