Miller, Debra R

Miller, Debra R is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Miller, Debra R can be contacted via phone (678) 312-5600.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-7694
Phone: (678) 312-5600
Fax: (770) 339-2135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 041898 Georgia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2013-01738 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 041898 Georgia

Profile Details

NPI number 1447255864
LBN Legal business name Miller, Debra R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jun 16th, 2018 - about 6 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 1447255864 NPPES
North Carolina MEDICAID 00720167A

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