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1417792094
WADE DAVIS MILLER
AUGUSTA, GA
NPI
1417792094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 16812)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
WADE DAVIS MILLER
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number: 706-721-7005
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Mailing Address
WADE DAVIS MILLER
1446 HARPER ST
AUGUSTA, GA 30912-0012
Phone number:
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