Individual
JEFFREY J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5651 FRIST BLVD, SUITE 400, HERMITAGE, TN 37076-2054
(615) 391-4545
(615) 391-4546
Mailing address
5651 FRIST BLVD, SUITE 400, HERMITAGE, TN 37076-2054
(615) 391-4545
(615) 391-4546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1166
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36226522
—
TN
01
—
4066914
BCBS
TN
01
—
4121917
BCBS
TN
Enumeration date
08/10/2005
Last updated
03/07/2008
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