Meredith, Randall Miller

Meredith, Randall Miller is an individual health care provider with primary practice located at 811 13Th St Suite 20, Augusta GA 30901-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Meredith, Randall Miller can be contacted via phone (706) 722-3401.

Contact Information

Primary practice address
811 13Th St Suite 20 Augusta GA 30901-2700
Phone: (706) 722-3401
Fax: (706) 724-6540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 050821 Georgia

Profile Details

NPI number 1801950712
LBN Legal business name Meredith, Randall Miller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 20th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801950712 NPPES
Georgia MEDICAID 715601961A

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