| Mr Antonio Miller, RN | |
|
94 E Oakland Ave Ste A, Camilla, GA 31730-1529 | |
| (229) 336-9769 | |
| Not Available |
| Full Name | Mr Antonio Miller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 94 E Oakland Ave Ste A, Camilla, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679041107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN153026 (Georgia) | Primary |
| Entity Name | 1st Genesis Treatment Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265277073 PECOS PAC ID: 7012455751 Enrollment ID: O20240813003312 |
| Entity Name | Mitchell County Pediatrics And Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568117737 PECOS PAC ID: 7911437421 Enrollment ID: O20250213002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Antonio Miller, RN 94 E Oakland Ave Ste A, Camilla, GA 31730-1529 Ph: (229) 336-9769 | Mr Antonio Miller, RN 94 E Oakland Ave Ste A, Camilla, GA 31730-1529 Ph: (229) 336-9769 |
Christine M Lockhart, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 | |
Ashley Abt, PA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 E Stephens St, Camilla, GA 31730 Phone: 229-336-4600 | |
Tyra Lashay Bennett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4191 Old Ga Highway 3, Camilla, GA 31730 Phone: 229-328-4181 | |
Heather Brooke Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 | |
Pamela Pierce, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-7472 Fax: 229-584-5966 | |
Casidy Enfinger, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 | |
Deborah Herndon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 |