| Jack W Miller, MD | |
|
100 Professional Pl, Ste 104, Carrollton, GA 30117-3874 | |
| (770) 830-7039 | |
| (770) 830-7149 |
| Full Name | Jack W Miller |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 100 Professional Pl, Carrollton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275699514 | NPI | - | NPPES |
| 000767709C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 044541 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack W Miller, MD 100 Professional Pl, Ste 104, Carrollton, GA 30117-3874 Ph: (770) 830-7039 | Jack W Miller, MD 100 Professional Pl, Ste 104, Carrollton, GA 30117-3874 Ph: (770) 830-7039 |
Emily Denney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 | |
Caitlin Mehalick Tierney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 | |
Nyla Faye Cline, NURSE PRACTIONER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Charles Edward Stevenson Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Jonathan M Goodin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Sushma Sudhi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 |