Individual
JOSH RANDALL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
10450 LOFTIN DR, OLIVE BRANCH, MS 38654-6279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
905711
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
29631
TN
Other
Enumeration date
10/18/2020
Last updated
06/15/2021
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