MEDICARE: DR. SHARON MARIE MILLER M.D.

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	207P00000X	Emergency Medicine Physician	17738	AL

General Provider Information

NPI Number	:	1801871520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON MARIE MILLER M.D.

Provider Business Mailing Address
First Line	:	PSC 482 BOX 2772
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CAMP LESTER NAVAL HOSPITAL OKINAWA
Second Line	:	PSC 482
City	:	FPO
State	:	AP
Zip	:	96362
Country	:	US
Telephone Number	:	011816117437338
Fax Number	:

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	08/28/2014

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