Doctor Name: | TAMMY M MILLER |
NPI Number: | 1245580521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 2012-64 |
Business Practice Address: | 100 Medical Center Dr Hazard, KY - 417019421 |
Business Phone Number: | 6064396600 |
Business Fax Number: | 6064877449 |
Mailing Address: | 102 Medical Center Dr, HAZARD |
State: | KY |
Postal Code: | 417019421 |
Phone Number: | 6064396600 |
Fax Number: | 6064877449 |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 2012-64 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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. |