Doctor Name: | EMILY MARIE MILLER |
NPI Number: | 1053702670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | C0005579 |
Business Practice Address: | 26840 Point Lookout Rd Leonardtown, MD - 206501409 |
Business Phone Number: | 3014758091 |
Business Fax Number: | 3014756712 |
Mailing Address: | 26840 Point Lookout Rd, LEONARDTOWN |
State: | MD |
Postal Code: | 206501409 |
Phone Number: | 3014758091 |
Fax Number: | 3014756712 |
NPI Enumeration Date: | 02/18/2015 |
NPI Last Update Date: | 02/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C0005579 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |