IndividualActive
Jack Miller, M.D.
NPI 1801912191 · Preventive Medicine/Occupational Environmental Medicine Physician · Marietta, GA
Provider details
- NPI number
- 1801912191
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 024987 (GA)
Practice location
220 Cobb Pkwy N
Suite 400
Marietta, GA 30062-3581
Phone: (615) 778-4066
Mailing address
5080 Spectrum Drive
Addison, TX 75001
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2009-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.