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
Phone: (770) 532-4477
Fax: (770) 287-9863
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063567675 | NPPES |
Georgia | MEDICAID | 00428513C |
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