Organization · Type 2 NPI

Jack W Miller

Adult Mental Health Clinic/Center · Carrollton, GA

NPI number 1982708368 Active

Practice location

100 Professional Pl, Ste 104
Carrollton, GA 30117-3874

Fax (770) 830-7149

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850X044541 (GA)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

18 other providers at this address

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About NPI 1982708368

Jack W Miller's National Provider Identifier is 1982708368, issued on Sep 7, 2006. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Carrollton, GA. The record was last updated on Feb 2, 2011.