Provider Demographics
NPI:1053641225
Name:MILLER, RANDOLPH ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:RANDOLPH
Middle Name:ARTHUR
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:ESKIND BIOMEDICAL LIBRARY VANDERBILT MED CTR RM B003C
Mailing Address - Street 2:2209 GARLAND AVENUE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8340
Mailing Address - Country:US
Mailing Address - Phone:615-936-2882
Mailing Address - Fax:615-936-5900
Practice Address - Street 1:ESKIND BIOMEDICAL LIBRARY VANDERBILT MED CTR RM B003C
Practice Address - Street 2:2209 GARLAND AVENUE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8340
Practice Address - Country:US
Practice Address - Phone:615-936-2882
Practice Address - Fax:615-936-5900
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000026116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine