Provider Demographics
NPI:1063962751
Name:MILLER, JOYCE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 HIGHLAND RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2293
Mailing Address - Country:US
Mailing Address - Phone:800-996-3947
Mailing Address - Fax:330-995-0873
Practice Address - Street 1:1664 HIGHLAND RD
Practice Address - Street 2:SUITE 10
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2293
Practice Address - Country:US
Practice Address - Phone:800-996-3947
Practice Address - Fax:330-995-0873
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor