Keith Wayne Miller in Chattanooga - Podiatrist
Keith Wayne Miller - NPI 1902973191
Keith Wayne Miller is a Podiatrist in Chattanooga, Tennessee. Keith Wayne Miller practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Keith Wayne Miller is 1902973191. The last update date is 2007-07-08.
Keith Wayne Miller's current location address is 7011 Shallowford Rd, Chattanooga, Tennessee. You can contact this provider via phone number 4238554567 and fax number 4238557946. The mailing address for Keith Wayne Miller is 7011 Shallowford Rd, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Wayne Miller |
|---|---|
| Address | 7011 Shallowford Rd, Chattanooga, Tennessee |
| Phone Number | 4238554567 |
| Fax Number | 4238557946 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1902973191 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7011 Shallowford Rd |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374216727 |
| Phone Number | 4238554567 |
| Fax Number | 4238557946 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DPM302 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3351334 | TN | -- |
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What is the unique 10-digit identifier code issued to Keith Wayne Miller by the Centers for Medicare & Medicaid Services?
The Keith Wayne Miller has been assigned the NPI (National Provider Identifier) 1902973191 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Keith Wayne Miller?
The Keith Wayne Miller is situated at 7011 Shallowford Rd, in the city of Chattanooga, state of TN, with the zip code 374216727.
What is the Keith Wayne Miller's specialty and taxonomy code?
The Keith Wayne Miller's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
When did Keith Wayne Miller receive its 1902973191 assignment?
The Keith Wayne Miller was assigned its 1902973191 on 2006-11-30, which is the date when this unique identifier was issued to the organization.
When was the Keith Wayne Miller's information last updated?
The Keith Wayne Miller's information was last updated on 2007-07-08.
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