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NPI Code Detail

MEDICARE: MRS. MEGHAN MAUME MILLER MS, ATC

MEDICARE:  MRS. MEGHAN MAUME MILLER  MS, ATC
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
12255A2300XAthletic Trainer002777OH

General Provider Information

NPI Number : 1265870539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGHAN MAUME MILLER MS, ATC
Provider Business Mailing Address
First Line : 1976 GUILFORD RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-4324
Country : US
Telephone Number : 513-260-1976
Fax Number :
Provider Business Practice Location Address
First Line : 1976 GUILFORD RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-4324
Country : US
Telephone Number : 513-260-1976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2013
Last Update Date : 06/10/2013

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Directions to “ MRS. MEGHAN MAUME MILLER MS, ATC” Practice Location

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