Individual
MARK ALLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1510
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42244
TN
207RG0100X
Gastroenterology Physician
Primary
42244
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000495
—
TN
01
—
4159171
BLUE CROSS BLUE SHIELD
TN
01
—
5239535
AETNA
TN
01
—
P00480194
RR MEDICARE
TN
Enumeration date
07/08/2005
Last updated
01/29/2024
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