Individual
THOMAS ROBERT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3734 MARTIN MILL PIKE, KNOXVILLE, TN 37920-2453
(865) 579-5322
(865) 579-5329
Mailing address
1932 ALCOA HWY, C 460, KNOXVILLE, TN 37920-1527
(865) 546-9246
(865) 523-6466
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD11224
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3153678
BLUECROSS/BLUESHIELD
TN
05
—
3723987
—
TN
01
—
390007316
RAILROAD MEDICARE
TN
Enumeration date
08/23/2005
Last updated
08/24/2012
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