Provider Demographics
NPI:1649243296
Name:MILLER, THOMAS AUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:AUSTIN
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5819 MAGIC MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3231
Mailing Address - Country:US
Mailing Address - Phone:301-319-8027
Mailing Address - Fax:301-295-6113
Practice Address - Street 1:NMETC (CODE OGMC)
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-319-8027
Practice Address - Fax:301-295-6113
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0052924207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine