Individual
TROY LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 484-9511
Mailing address
PO BOX 3139, CROSSVILLE, TN 38557-3139
(931) 484-0048
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
103826
MN
2085R0202X
Diagnostic Radiology Physician
50157
TN
2085R0202X
Diagnostic Radiology Physician
Primary
51204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01059074
MEDICARE - RAIL ROAD
MN
Enumeration date
07/14/2008
Last updated
07/17/2013
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