MEDICARE: DR. STEVEN LEE MILLER DC

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	1034	MS

General Provider Information

NPI Number	:	1174656417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN LEE MILLER DC

Provider Business Mailing Address
First Line	:	125 JEFF DAVIS AVE.
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3632
Country	:	US
Telephone Number	:	228-868-8885
Fax Number	:	228-868-4991

Provider Business Practice Location Address
First Line	:	125 JEFF DAVIS AVE.
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3632
Country	:	US
Telephone Number	:	228-868-8885
Fax Number	:	228-868-4991

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	03/24/2017

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