Provider Demographics
NPI:1821115247
Name:MILLER, EMMETT E III (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMETT
Middle Name:E
Last Name:MILLER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-0803
Mailing Address - Country:US
Mailing Address - Phone:530-478-1807
Mailing Address - Fax:530-478-0160
Practice Address - Street 1:18834 ROCK CREEK RD
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-9492
Practice Address - Country:US
Practice Address - Phone:530-478-1807
Practice Address - Fax:530-478-0160
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG16283207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine