Doctor Name: | MR. JACKIE L MILLER |
NPI Number: | 1003875311 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HADE, HIS |
License Number: | 687 |
Business Practice Address: | 4110 Brainerd Rd Chattanooga, TN - 374113700 |
Business Phone Number: | 4236220087 |
Business Fax Number: | 4236227300 |
Mailing Address: | 2009 Albermarle Dr, HIXSON |
State: | TN |
Postal Code: | 373435912 |
Phone Number: | 4238421396 |
Fax Number: | 4238420221 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 687 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |