Individual
SCOTT DAVID MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-5008
(931) 645-4104
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 431-4677
(931) 645-4104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58272
TN
Other
Enumeration date
08/02/2006
Last updated
01/17/2025
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