Provider Demographics
NPI:1801180591
Name:MILLER, HANNAH MEIGAN JOHNSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH MEIGAN
Middle Name:JOHNSON
Last Name:MILLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 N LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-1149
Mailing Address - Country:US
Mailing Address - Phone:706-485-9031
Mailing Address - Fax:706-485-5541
Practice Address - Street 1:104 N LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024
Practice Address - Country:US
Practice Address - Phone:706-485-9031
Practice Address - Fax:706-485-5541
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0142671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice