Individual
DR. JONATHAN ALLEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5243 LITTLE DEBBIE PKWY STE 111, OOLTEWAH, TN 37363-4515
(423) 206-2777
Mailing address
5243 LITTLE DEBBIE PKWY STE 111, OOLTEWAH, TN 37363-4515
(423) 206-2777
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
38079
AL
207N00000X
Dermatology Physician
60832
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
61190
TN
Other
Enumeration date
04/20/2015
Last updated
10/07/2020
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