Individual
DR. NICOLE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 JUDGE GRESHAM RD STE B, GRAY, TN 37615-6213
(423) 477-2010
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 29248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841293560
—
VA
05
—
Q003271
—
TN
Enumeration date
05/27/2005
Last updated
05/19/2025
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