Individual
MARK PAGE MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
703 CLINTON PKWY, CLINTON, MS 39056-5245
(601) 708-4205
(601) 708-4707
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-3205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5907
MS
Other
Enumeration date
03/02/2016
Last updated
03/10/2020
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