Miller, Kent Gerard

Miller, Kent Gerard is an sole proprietor health care provider with primary practice located at 303 Jesse Jewell Pkwy Se Ste 230 , Gainesville GA 30501-3713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Miller, Kent Gerard can be contacted via phone (770) 532-4477.

Contact Information

Primary practice address
303 Jesse Jewell Pkwy Se Ste 230 Gainesville GA 30501-3713
Fax: (770) 287-9863
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 031636 Georgia

Profile Details

NPI number 1063567675
LBN Legal business name Miller, Kent Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Feb 10th, 2021 - about 3 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 1063567675 NPPES
Georgia MEDICAID 00428513C

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