Individual
DR. BRAD W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7000
Mailing address
1920 BROOKSIDE DR, SUITE 9, KINGSPORT, TN 37660-4613
(423) 246-2040
(423) 246-2392
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18757
TN
Other
Enumeration date
12/27/2005
Last updated
05/25/2010
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