Miles, Michael L
Miles, Michael L is an individual health care provider with primary practice located at 7869 Villa Rica Hwy , Dallas GA 30157-8638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Miles, Michael L can be contacted via phone (770) 459-8449.Contact Information
Primary practice address
7869 Villa Rica Hwy
Dallas GA 30157-8638
Phone: (770) 459-8449
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 052082 | Georgia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | 052082 | Georgia |
Profile Details
| NPI number | 1760458319 |
|---|---|
| LBN Legal business name | Miles, Michael L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Dec 29th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760458319 | NPPES |
| Georgia | MEDICAID | 000972474E | |
| Georgia | MEDICAID | 000972474F |
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