Doctor Name: | SHARON DIANE MILLER |
NPI Number: | 1164646055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPTA |
License Number: | 2854 |
Business Practice Address: | 325 N Saint Paul St Dallas, TX - 752013801 |
Business Phone Number: | 8669530011 |
Business Fax Number: | |
Mailing Address: | 106 Reeser Rd, #2 JOHNSON CITY |
State: | TN |
Postal Code: | 376015102 |
Phone Number: | 9313079661 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |