Jerry Miller in Kingsport - Family Medicine

Jerry Miller - NPI 1053315697

Jerry Miller is a Family Medicine in Kingsport, Tennessee. Jerry Miller practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry Miller is 1053315697. The last update date is 2009-09-22.

Jerry Miller's current location address is Po Box 9, Kingsport, Tennessee. You can contact this provider via phone number 4238572066 and fax number 4238572070. The mailing address for Jerry Miller is Po Box 9, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Miller
Address Po Box 9, Kingsport, Tennessee
Phone Number 4238572066
Fax Number 4238572070
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053315697
Provider Enumeration Date 2005-06-10
Last Updated Date 2009-09-22

Provider Mailing Address Detail

Address Po Box 9
City Kingsport
State Tennessee (TN)
Post Code 3766200090
Phone Number 4238572066
Fax Number 4238572070

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 101017451
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3173496 TN --

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FAQs about Jerry Miller

What is the unique 10-digit identifier code issued to Jerry Miller by the Centers for Medicare & Medicaid Services?

The Jerry Miller has been assigned the NPI (National Provider Identifier) 1053315697 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jerry Miller's facilities are geographically located?

The facilities of Jerry Miller are physically situated at the following location: Po Box 9, Kingsport, TN, 3766200090.

What is the area of specialization for Jerry Miller, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jerry Miller is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053315697 to Jerry Miller?

The Centers for Medicare & Medicaid Services originally issued the 1053315697 to Jerry Miller on 2005-06-10.

When was the information regarding Jerry Miller most recently updated?

The details pertaining to the Jerry Miller, including its address, specialty, and other relevant information, were last refreshed on 2009-09-22.

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