Provider Demographics
NPI:1003848649
Name:MILLER, RHEE WADE (MD)
Entity Type:Individual
Prefix:
First Name:RHEE
Middle Name:WADE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3390 PEACHTREE RD NE STE 1500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-2822
Mailing Address - Country:US
Mailing Address - Phone:770-929-9033
Mailing Address - Fax:770-929-9092
Practice Address - Street 1:5303 ADAMS ST NE STE B
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-6209
Practice Address - Country:US
Practice Address - Phone:678-729-8590
Practice Address - Fax:678-729-8595
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041058208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA050083863OtherRAILROAD MEDICARE PROV #
GA00797805CMedicaid
GA05BDHXCMedicare ID - Type UnspecifiedMEDICARE PROV #
GAG82081Medicare UPIN