| Gordon Chason Miller, MD | |
|
1506 E Evans St, Bainbridge, GA 39819-4364 | |
| (229) 243-0740 | |
| (229) 243-7384 |
| Full Name | Gordon Chason Miller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1506 E Evans St, Bainbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881648681 | NPI | - | NPPES |
| 000012757A | Medicaid | GA | |
| 235747 | Other | GA | BLUE CROSS BLUE SHIELD |
| 055001894A | Medicaid | GA | |
| 063603652 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 9888 (Georgia) | Primary |
| Entity Name | Hospital Authority Of The City Of Bainbridge And Decatur County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053388256 PECOS PAC ID: 1658265137 Enrollment ID: O20040216000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Chason Miller, MD 1506 E Evans St, Bainbridge, GA 39819-4364 Ph: (229) 243-0740 | Gordon Chason Miller, MD 1506 E Evans St, Bainbridge, GA 39819-4364 Ph: (229) 243-0740 |
James Sydney Cochran, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1504 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6600 | |
Dr. Douglas L West, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1514 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6090 Fax: 229-246-0290 | |
Jon Mallory Mcrae Jr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1518 Miluli Ave, Bainbridge, GA 39819 Phone: 229-248-8500 Fax: 229-248-8600 |