Provider Demographics
NPI:1063487999
Name:MILLER, AUDREY FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:FRANCES
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 1:960 JOHNSON FERRY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4771
Mailing Address - Country:US
Mailing Address - Phone:404-257-0170
Mailing Address - Fax:404-591-3146
Practice Address - Street 1:960 JOHNSON FERRY RD STE 400
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4771
Practice Address - Country:US
Practice Address - Phone:404-257-0170
Practice Address - Fax:404-591-3146
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042193174400000X
PAMD431754174400000X
NY238086-1174400000X
SC33386207V00000X
NC2008-00751207V00000X
GA42362207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No174400000XOther Service ProvidersSpecialist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT042193OtherCONNECTICARE
CT060870439OtherEMPIRE BCBS
CT060870439OtherCIGNA
CTP3306236OtherOXFORD
CT5315574OtherAETNA
SCN51009Medicaid
CT060870439OtherPOMCO
CT010042193CT01OtherANTHEM BCBS OF CT
CT060870439OtherPHCS
CTCV8825OtherHEALTHNET
CT060870439OtherPOMCO
CTG34888Medicare UPIN
CTCV8825OtherHEALTHNET
CT5315574OtherAETNA