MEDICARE: MILLER CHIROPRACTIC CLINIC, PLLC

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	MS939	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1922133941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLER CHIROPRACTIC CLINIC, PLLC

Provider Business Mailing Address
First Line	:	2220 HIGHWAY 45 N
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-2709
Country	:	US
Telephone Number	:	601-482-7300
Fax Number	:	601-482-7380

Provider Business Practice Location Address
First Line	:	2220 HIGHWAY 45 N
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-2709
Country	:	US
Telephone Number	:	601-482-7300
Fax Number	:	601-482-7380

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN THOMAS MILLER
Credential	:	D.C.
Telephone Number	:	601-482-7300

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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Directions to “MILLER CHIROPRACTIC CLINIC, PLLC ” Practice Location

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