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NPI Code Detail

MEDICARE: DR. STEPHEN KERRY MILLER MD

MEDICARE: DR. STEPHEN KERRY MILLER MD
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
1207R00000XInternal Medicine PhysicianME0057317FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457349276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN KERRY MILLER MD
Provider Business Mailing Address
First Line : 2007 HARRISON AVE
Second Line : STE A
City : PANAMA CITY
State : FL
Zip : 32405-4545
Country : US
Telephone Number : 850-872-0835
Fax Number :
Provider Business Practice Location Address
First Line : 2007 HARRISON AVE
Second Line : STE A
City : PANAMA CITY
State : FL
Zip : 32405-4545
Country : US
Telephone Number : 850-872-0835
Fax Number : 850-784-9154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 05/03/2010

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