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NPI Code Detail

MEDICARE: DR. JAMIE MARCUS MILLER DO

MEDICARE: DR. JAMIE MARCUS MILLER DO
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
1207P00000XEmergency Medicine Physician1873WV
2207Q00000XFamily Medicine Physician1873WV

General Provider Information

NPI Number : 1437136322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE MARCUS MILLER DO
Provider Business Mailing Address
First Line : 1 AMALIA DR
Second Line :
City : BUCKHANNON
State : WV
Zip : 26201-2239
Country : US
Telephone Number : 304-473-2063
Fax Number :
Provider Business Practice Location Address
First Line : 1 AMALIA DR
Second Line :
City : BUCKHANNON
State : WV
Zip : 26201-2239
Country : US
Telephone Number : 304-473-2063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 06/29/2020

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Directions to “ DR. JAMIE MARCUS MILLER DO” Practice Location

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