Provider Demographics
NPI:1699748384
Name:MILLER TOPA, BELINDA L (MD)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:L
Last Name:MILLER TOPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:LEIGH
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:165 BLUE RIDGE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-4431
Mailing Address - Country:US
Mailing Address - Phone:706-946-5607
Mailing Address - Fax:706-374-7628
Practice Address - Street 1:134 ANSLEY DR STE 700
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-1641
Practice Address - Country:US
Practice Address - Phone:706-701-5001
Practice Address - Fax:706-701-5002
Is Sole Proprietor?:No
Enumeration Date:2006-02-11
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA823892080S0010X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H01406Medicare UPIN