Provider Demographics
NPI:1669763504
Name:MILLER, GLORIA CAROL (FNP)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:CAROL
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:2994 ATLANTA RD SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-3655
Mailing Address - Country:US
Mailing Address - Phone:770-425-2178
Mailing Address - Fax:770-309-5762
Practice Address - Street 1:2994 ATLANTA RD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-3655
Practice Address - Country:US
Practice Address - Phone:770-435-2178
Practice Address - Fax:770-507-9360
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2018-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000019520363LF0000X
TX731716363LF0000X
GARN221558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily