Individual
CALVIN L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 MED TECH PKWY, JOHNSON CITY, TN 37604-4004
(423) 722-0360
(423) 793-1339
Mailing address
225 MIDWAY MEDICAL PARK, BRISTOL, TN 37620-1680
(423) 722-0360
(423) 793-1339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000016717
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396777462
—
VA
05
—
3332479
—
TN
Enumeration date
07/07/2006
Last updated
01/14/2010
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