Dr Dallas Mark Miller, MD | |
2704 N Oak St, Building F, Valdosta, GA 31602-1744 | |
(229) 242-4996 | |
(229) 242-2306 |
Full Name | Dr Dallas Mark Miller |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 46 Years |
Location | 2704 N Oak St, Valdosta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184697815 | NPI | - | NPPES |
000396492A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 026898 (Georgia) | Primary |
2086S0129X | Surgery - Vascular Surgery | 026898 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
South Georgia Medical Center | Valdosta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sgmc Physician Network Inc | 4082036843 | 112 |
Entity Name | Sgmc Physician Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
Mailing Address | Practice Location Address |
---|---|
Dr Dallas Mark Miller, MD 2704 N Oak St, Building F, Valdosta, GA 31602-1744 Ph: (229) 242-4996 | Dr Dallas Mark Miller, MD 2704 N Oak St, Building F, Valdosta, GA 31602-1744 Ph: (229) 242-4996 |
James Richard Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2409 N Patterson St Ste 200, Valdosta, GA 31602 Phone: 229-333-1711 Fax: 229-333-1719 | |
Dr. Gregory D Martin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3338 Country Club Rd Ste M, Valdosta, GA 31605 Phone: 229-259-9666 Fax: 229-253-0064 | |
Dr. Maurice M Solis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2409 N Patterson St, Suite 230, Valdosta, GA 31602 Phone: 229-259-4369 Fax: 229-433-6513 | |
Barry Howard Braun, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 428 Connell Rd, Valdosta, GA 31602 Phone: 229-245-1281 Fax: 229-245-1317 | |
Dr. David Keith Parker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2704 N Oak St, Bldg F, Valdosta, GA 31602 Phone: 229-242-4996 Fax: 229-242-2306 | |
Dr. William Harvey Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2704 N Oak St, Bldg F, Valdosta, GA 31602 Phone: 229-242-4996 Fax: 229-242-2306 |