Miller, Chealon D

Miller, Chealon D is an individual health care provider with primary practice located at 3211 Iris Dr , Covington GA 30016-0907. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Miller, Chealon D can be contacted via phone (770) 787-4042.

Contact Information

Primary practice address
3211 Iris Dr Covington GA 30016-0907
Phone: (770) 787-4042
Fax: (770) 922-7499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116018759 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 067830 Georgia

Profile Details

NPI number 1902011745
LBN Legal business name Miller, Chealon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Oct 10th, 2012 - about 13 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 1902011745 NPPES
Georgia MEDICAID 003126579A

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