Individual
MARY-MEGAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 DUNLOP LN, CLARKSVILLE, TN 37040-5010
(931) 502-1000
Mailing address
201 SLOAN RD, CLARKSVILLE, TN 37043-6715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6033
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2024
Last updated
07/05/2024
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