NPI 1053315697

Jerry Miller, MD

Practitioner Family Medicine Physician Kingsport, TN

Practice location

Address: 105 W Stone Dr STE 3a, Kingsport, TN 37660-3256
Phone: (423) 392-6200
Mailing address: PO Box 9, Kingsport, TN 37662-0009

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD 5663 (TN)

Other Family Medicine providers in Tennessee →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0101017451 (VA)

Registry record

NPI: 1053315697
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2005
Record last updated: 22 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.