MEDICARE: STEPHEN S 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	207RH0003X	Hematology & Oncology Physician	MD36462	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841302288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN S MILLER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 440509
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37244-0509
Country	:	US
Telephone Number	:	865-670-6199
Fax Number	:	865-670-6188

Provider Business Practice Location Address
First Line	:	1934 ALCOA HWY
Second Line	:	STE 474
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1524
Country	:	US
Telephone Number	:	865-305-8780
Fax Number	:	865-305-8199

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/17/2010

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