Miller, Nicole M

Miller, Nicole M is an individual health care provider with primary practice located at 2002 Brookside Dr Suite 200, Kingsport TN 37660-4634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Nicole M can be contacted via phone (423) 530-7970.

Contact Information

Primary practice address
2002 Brookside Dr Suite 200 Kingsport TN 37660-4634
Fax: (423) 530-7971
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 29248 Tennessee

Profile Details

NPI number 1841293560
LBN Legal business name Miller, Nicole M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 5th, 2020 - about 5 years 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 1841293560 NPPES
Tennessee MEDICAID Q003271
Tennessee MEDICAID 1841293560

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