Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK W MILLER, M.D
Active Sole ProprietorJACK W MILLER, M.D is a Developmental-Behavioral Pediatrics healthcare provider located in CARROLLTON, Georgia. NPI 1275699514 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · CARROLLTON, GA
Registration Details
- NPI Number
- 1275699514
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2006 (19.639740101273 yrs)
- Last Updated
- Feb 12, 2026
- License
-
044541 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 PROFESSIONAL PLSTE 104CARROLLTON, GA, 301173874Browse GA providers · Browse ZIP 30117
- Phone
- 7708307039
- Fax
- 7708307149
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.