Miller, Jill Dana

Miller, Jill Dana is an individual health care provider with primary practice located at 1510 Hudson Bridge Rd , Stockbridge GA 30281-5020. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Miller, Jill Dana can be contacted via phone (404) 785-8660.

Contact Information

Primary practice address
1510 Hudson Bridge Rd Stockbridge GA 30281-5020
Phone: (404) 785-8660
Fax: (404) 785-8730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101234592 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101234592 Virginia
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 0101234592 Virginia
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 89760 Georgia

Profile Details

NPI number 1437198280
LBN Legal business name Miller, Jill Dana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 25th, 2022 - about 2 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 1437198280 NPPES
Maryland MEDICAID 403588700
Maryland MEDICAID 1008314420001
Maryland MEDICAID 89066FT
Maryland MEDICAID 006739580

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