Male or Other

Dr. Michael R. Millner M.D.

Diagnostic Radiology Physician in Valdosta, GA(View on Map)

Full Name

Dr. Michael R Millner M.D.

NPI Number

1447200399

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/11/2006

Licenses

State

Georgia

License Number

030654

Contact
Information

Purpose

Mailing
Location

Address

1125 TROUPE ST
2501 N PATTERSON ST

City

Augusta
Valdosta

State

GA
GA

Postal Code

30904-4480
31602-2511

Country

US
US

Telephone Number

(706) 737-4575
(229) 259-4888

Identifiers

Identifier

000376824C
00376824B
1952419012

Identifier State

GA
GA
Unknown

Identifier Issuer

Unknown
Unknown
NPI - STH. GA RADIOLOGY

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/31/2013

Provider Address

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