Individual
LOGAN EARL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1056 E RAINES RD, MEMPHIS, TN 38116-6337
(901) 300-5777
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(901) 300-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17217
TN
207Q00000X
Family Medicine Physician
MD17219
TN
Other
Enumeration date
11/15/2006
Last updated
09/30/2021
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