Gordon Chason Miller, MD | |
1506 E Evans St, Bainbridge, GA 39819-4364 | |
(229) 243-0740 | |
(229) 243-7384 |
Full Name | Gordon Chason Miller |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1506 E Evans St, Bainbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881648681 | NPI | - | NPPES |
000012757A | Medicaid | GA | |
235747 | Other | GA | BLUE CROSS BLUE SHIELD |
055001894A | Medicaid | GA | |
063603652 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 9888 (Georgia) | Primary |
Entity Name | Hospital Authority Of The City Of Bainbridge And Decatur County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053388256 PECOS PAC ID: 1658265137 Enrollment ID: O20040216000016 |
Mailing Address | Practice Location Address |
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Gordon Chason Miller, MD 1506 E Evans St, Bainbridge, GA 39819-4364 Ph: (229) 243-0740 | Gordon Chason Miller, MD 1506 E Evans St, Bainbridge, GA 39819-4364 Ph: (229) 243-0740 |
James Sydney Cochran, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1504 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6600 | |
Dr. Douglas L West, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1514 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6090 Fax: 229-246-0290 | |
Jon Mallory Mcrae Jr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1518 Miluli Ave, Bainbridge, GA 39819 Phone: 229-248-8500 Fax: 229-248-8600 |