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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK L MILLER, M.D.

Active

JACK L MILLER, M.D. is a Preventive Medicine healthcare provider located in MARIETTA, Georgia. NPI 1801912191 is currently active in the NPPES registry. Verify at CMS.

Preventive Medicine · MARIETTA, GA

Registration Details

NPI Number
1801912191
Provider Type
Individual
Gender
Male
NPI Issued
Mar 21, 2007 (19.420773751324 yrs)
Last Updated
Oct 22, 2009
License
024987 (GA)

Practice Information

Address
220 COBB PKWY N
SUITE 400
MARIETTA, GA, 300623581
Browse GA providers · Browse ZIP 30062
Phone
6157784066
Primary Specialty
Preventive Medicine
2083P0500X

Other Preventive Medicine Providers in MARIETTA, GA

Name Credential NPI
DR. MICHAEL B MILLER DO 1518079920
ALEJANDRO R ALAM-GONZALEZ M.D. 1801911268
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.