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Individual

DR. BRUCE MILTON MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-3161
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD040487
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740278225
VA
05
3336346
TN
01
MD040487
LICENSE
TN
Enumeration date
10/10/2005
Last updated
04/02/2026
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