MEDICARE: DR. WAYNE KURT MILLER D.C.

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	111N00000X	Chiropractor	CHIRO07305	GA

General Provider Information

NPI Number	:	1063463461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE KURT MILLER D.C.

Provider Business Mailing Address
First Line	:	731 AKERS RIDGE DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3248
Country	:	US
Telephone Number	:	404-781-2225
Fax Number	:	404-781-2226

Provider Business Practice Location Address
First Line	:	731 AKERS RIDGE DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3248
Country	:	US
Telephone Number	:	404-781-2225
Fax Number	:	404-781-2226

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/08/2007

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