Doctor Name: | LEWIS MCCOY MILLER |
NPI Number: | 1144403171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 910 Blackford St Chattanooga, TN - 374031405 |
Business Phone Number: | 4237786422 |
Business Fax Number: | 4237784232 |
Mailing Address: | 910 Blackford St, CHATTANOOGA |
State: | TN |
Postal Code: | 374031405 |
Phone Number: | 4237786422 |
Fax Number: | 4237784232 |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 08/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |