Individual
MICHAEL RAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6130 NOLENSVILLE RD, NASHVILLE, TN 37211-6813
(615) 284-1450
(615) 846-1630
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-1450
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
000845
TN
207Q00000X
Family Medicine Physician
Primary
000845
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33054611
—
TN
05
—
3319433
—
TN
01
—
4069324
BCBS
TN
01
—
4173180
BLUE CROSS BLUE SHIELD
TN
01
—
P00760712
RR MECICARE
TN
Enumeration date
06/07/2006
Last updated
06/20/2022
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