MEDICARE: DR. FRANK DENTON 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
1	207R00000X	Internal Medicine Physician	15873	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051005024	OTHER	AL	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770553067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK DENTON MILLER M.D.

Provider Business Mailing Address
First Line	:	92 JOE T PETTY DRIVE
Second Line	:
City	:	RUSSELL SPRINGS
State	:	KY
Zip	:	42642
Country	:	US
Telephone Number	:	270-866-7611
Fax Number	:	270-866-7613

Provider Business Practice Location Address
First Line	:	92 JOE T PETTY DRIVE
Second Line	:
City	:	RUSSELL SPRINGS
State	:	KY
Zip	:	42642
Country	:	US
Telephone Number	:	270-866-7611
Fax Number	:	270-866-7613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	02/29/2024

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