Jack W Miller
M.D | Developmental - Behavioral Pediatrics | Male
Jack W Miller, M.D is a Carrollton, Georgia based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Jack W Miller is
100 Professional Pl, Ste 104, Carrollton, Georgia - 30117-3874. He can be contacted on phone at
770-830-7039 and fax number 770-830-7149.
Jack W Miller is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack W Miller is
1275699514 which was assigned by NPPES on 29 Dec, 2006 and it was last updated on 06 Aug, 2015.
Jack W Miller license number is
044541 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Georgia.
Jack W Miller is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Jack W Miller basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Jack W Miller |
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| Credential : | M.D |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Jack W Miller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Professional Pl, Ste 104
Carrollton, GA, 30117-3874
United States |
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| Phone Number : | 770-830-7039 |
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| Fax Number : | 770-830-7149 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1275699514 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Dec, 2006 |
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| Last Updated On : | 06 Aug, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack W Miller are as mentioned. Primary taxonomy code for Jack W Miller, M.D is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 044541 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Jack W Miller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 000767709C | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Professional Pl, Ste 104
Carrollton, GA, 30117-3874
United States |
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| Phone Number : | 770-830-7039 |
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| Fax Number : | 770-830-7149 |
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Business Location:
Patients can refer following map for directions to
Jack W Miller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.