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Individual

ROBERT G MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2996 KATE BOND RD STE 405, BARTLETT, TN 38133-4063
(870) 394-4832
(866) 345-0188
Mailing address
2996 KATE BOND RD STE 405, BARTLETT, TN 38133-4063
(870) 394-4832
(866) 345-0188

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18647
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3859928
TN
01
4198150
BCBS OF TN
TN
Enumeration date
02/10/2006
Last updated
05/01/2018
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