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Individual

JUSTIN NEAL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1805 N JACKSON ST STE 100, TULLAHOMA, TN 37388-2291
(931) 455-7767
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
65937
TN
207R00000X
Internal Medicine Physician
Primary
65937
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65937
TENNESSEE STATE LICENSE
TN
05
Q050576
TN
Enumeration date
04/11/2019
Last updated
07/24/2025
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