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Physician Compare National (NPI:1336159946)

HEALTHCARE PROVIDER: JOHN EDWIN MILLER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1336159946
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6800968066
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080702000547
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MILLER
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty OPHTHALMOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 7268 JARNIGAN RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 304
Group Practice or individual's line 2 address
City CHATTANOOGA
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 374213098
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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