Miller, Deborah C

Miller, Deborah C is an individual health care provider with primary practice located at 1361 Jennings Mill Road Building 200 Suite 201, Bogart GA 30622. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Miller, Deborah C can be contacted via phone (706) 316-1908.

Contact Information

Primary practice address
1361 Jennings Mill Road Building 200 Suite 201 Bogart GA 30622
Phone: (706) 316-1908
Fax: (706) 316-2062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN081032 CNS Georgia

Profile Details

NPI number 1629109863
LBN Legal business name Miller, Deborah C
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Feb 4th, 2015 - about 9 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 1629109863 NPPES
Georgia MEDICAID 301102464A

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