Individual
LAURA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8590
(865) 213-8766
Mailing address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52839
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013618
—
TN
Enumeration date
04/15/2011
Last updated
12/28/2022
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