| Organization Name: | MILLER FAMILY PRACTICE, LLC. |
| NPI Number: | 1073723680 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONRAD N. MILLER (PRESIDENT) |
| Mailing Address: | 1818 Forsyth Street Suite 200 Macon |
| State: | GA US |
| Postal Code: | 312011636 |
| Phone Number: | 4787457878 |
| Fax Number: | 4787451636 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 05/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | GA 040963 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |