| Stephen R Miller, PT | |
|
1150 West Ward Street Extension, Magnolia Place B-1, Douglas, GA 31533-1902 | |
| (912) 384-4813 | |
| (912) 383-9090 |
| Full Name | Stephen R Miller |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1150 West Ward Street Extension, Douglas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093737835 | NPI | - | NPPES |
| 52775003 | Other | GA | BLUE CROSS BLUE SHIELD OF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT001828 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Miller, PT 1150 West Ward Street Extension, Magnolia Place B-1, Douglas, GA 31533-1902 Ph: (912) 384-4813 | Stephen R Miller, PT 1150 West Ward Street Extension, Magnolia Place B-1, Douglas, GA 31533-1902 Ph: (912) 384-4813 |
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Natalie Douglas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Ward St W, Douglas, GA 31533 Phone: 912-525-5400 Fax: 912-525-3571 | |
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