Miller, Andrea Michelle

Miller, Andrea Michelle is an individual health care provider with primary practice located at 4 E Jackson Blvd , Savannah GA 31405-5810. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller, Andrea Michelle can be contacted via phone (912) 355-1010.

Contact Information

Primary practice address
4 E Jackson Blvd Savannah GA 31405-5810
Phone: (912) 355-1010
Fax: (912) 721-3092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN194038 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN194038 Georgia

Profile Details

NPI number 1194089920
LBN Legal business name Miller, Andrea Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Feb 25th, 2014 - about 10 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 1194089920 NPPES
South Carolina MEDICAID NP2496
South Carolina MEDICAID 003125590A
South Carolina Other P01076503
South Carolina Other DN4827

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