Miller, Mark Allen

Miller, Mark Allen is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-1510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Miller, Mark Allen can be contacted via phone (615) 936-2000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232-1510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42244 Tennessee
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 42244 Tennessee

Profile Details

NPI number 1699773150
LBN Legal business name Miller, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 29th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699773150 NPPES
Tennessee MEDICAID 3000495
Tennessee Other 5239535
Tennessee Other 4159171
Tennessee Other P00480194

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