Individual
MARK PAGE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7705 POPLAR AVE STE 310, GERMANTOWN, TN 38138-3930
(901) 516-6300
(901) 516-6350
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15293
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4346314
BCBS
TN
01
—
P01240990
RAILROAD MEDICARE
TN
Enumeration date
05/03/2006
Last updated
04/22/2025
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