Organization
ALLERGY, ASTHMA & IMMUNOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M MILLER MD (PRESIDENT)
(865) 588-8508
Entity
Organization
Contact information
Practice address
1114 E WEISGARBER RD, STE A, KNOXVILLE, TN 37909
(865) 588-1833
(865) 588-8057
Mailing address
7205 ROTHERWOOD DR, KNOXVILLE, TN 37919-7415
(865) 588-8508
(865) 588-8057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31655207
—
TN
01
—
68256
BLUE CROSS-BLUE SHIELD
TN
Enumeration date
11/01/2006
Last updated
06/07/2018
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