Doctor Name: | JANICE MILLER |
NPI Number: | 1073919437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 876 Tom Odum Rd Vidalia, GA - 304747105 |
Business Phone Number: | 9122450299 |
Business Fax Number: | |
Mailing Address: | 876 Tom Odum Rd, VIDALIA |
State: | GA |
Postal Code: | 304747105 |
Phone Number: | 9122450299 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |