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NPI Code Detail

MEDICARE: KRISTIN M. MILLER M.D.

MEDICARE: KRISTIN M. MILLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician26510TN

General Provider Information

NPI Number : 1003815283
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN M. MILLER M.D.
Provider Business Mailing Address
First Line : 8110 N BROTHER BLVD STE 200
Second Line :
City : BARTLETT
State : TN
Zip : 38133-2760
Country : US
Telephone Number : 901-255-5221
Fax Number : 901-373-4511
Provider Business Practice Location Address
First Line : 6750 POPLAR AVE
Second Line : SUITE 210
City : MEMPHIS
State : TN
Zip : 38138-7438
Country : US
Telephone Number : 901-756-6522
Fax Number : 901-435-0928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 03/11/2024

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