Provider Demographics
NPI:1720360563
Name:NEWDAY PEDIATRICS LLC
Entity Type:Organization
Organization Name:NEWDAY PEDIATRICS LLC
Other - Org Name:MARIBEL MILLER, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-754-5437
Mailing Address - Street 1:437 E LOUISE ST
Mailing Address - Street 2:PO BOX 2315
Mailing Address - City:CLARKESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30523-6106
Mailing Address - Country:US
Mailing Address - Phone:706-754-5437
Mailing Address - Fax:706-754-6959
Practice Address - Street 1:437 E LOUISE ST
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-6106
Practice Address - Country:US
Practice Address - Phone:706-754-5437
Practice Address - Fax:706-754-6959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA47731208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty