Individual
DR. KEITH WAYNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7011 SHALLOWFORD RD, SUITE 103, CHATTANOOGA, TN 37421-6727
(423) 855-4567
(423) 855-7946
Mailing address
7011 SHALLOWFORD RD, SUITE 103, CHATTANOOGA, TN 37421-6727
(423) 855-4567
(423) 855-7946
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM302
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3351334
—
TN
Enumeration date
11/30/2006
Last updated
07/08/2007
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