Doctor Name: | GEORGE H MILLER |
NPI Number: | 1003218330 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 320632 |
Business Practice Address: | 17 School St Peru, NY - 129722616 |
Business Phone Number: | 5186436000 |
Business Fax Number: | 5186436212 |
Mailing Address: | 17 School St, PERU |
State: | NY |
Postal Code: | 129722616 |
Phone Number: | 5186436000 |
Fax Number: | 5186436212 |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 320632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |