Individual
DR. JOHNNY R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1209 RUSSELL ST, UNION CITY, TN 38261-5352
(731) 885-0851
Mailing address
1209 RUSSELL ST, UNION CITY, TN 38261-5352
(731) 885-0851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6874
TN
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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