Medina, Miles Anthony
Medina, Miles Anthony is an individual health care provider with primary practice located at 1133 Eagles Landing Pkwy # Er , Stockbridge GA 30281-5085. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Medina, Miles Anthony can be contacted via phone (678) 604-1000.Contact Information
Primary practice address
1133 Eagles Landing Pkwy # Er
Stockbridge GA 30281-5085
Phone: (678) 604-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 85502 | Georgia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1437690658 |
---|---|
LBN Legal business name | Medina, Miles Anthony |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2017 |
Last updated | Jul 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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