Miles, Robert D

Miles, Robert D is an individual health care provider with primary practice located at 116 Mimosa Dr , Thomasville GA 31792-6605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miles, Robert D can be contacted via phone (229) 551-0083.

Contact Information

Primary practice address
116 Mimosa Dr Thomasville GA 31792-6605
Fax: (229) 227-9642
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 056202 Georgia

Profile Details

NPI number 1154317055
LBN Legal business name Miles, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154317055 NPPES
Georgia MEDICAID 219455866A

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