Jack W Miller
Jack W Miller is an Adult Mental Health Clinic/Center in Carrollton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
100 Professional Pl Ste 104Carrollton, GA 30117-3874
Phone: (770) 830-7039
Fax: (770) 830-7149
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Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X · Licence 044541 (GA) |
|---|
Record details
| NPI number | 1982708368 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Miller — Physician · (770) 830-7039 |
| Other names | Developmental Behavioral Pediatrics |
| NPI enumerated | September 7, 2006 |
| Last updated in NPPES | February 2, 2011 |
| Mailing address | 100 Professional Pl, Ste 104, Carrollton, GA 30117-3874 |
Other providers in Carrollton
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Lauri Shedd Therapy Services LLC
1325 S Park St # 1003, Carrollton, GA 30117-4433 · (314) 882-0282