Provider Demographics
NPI:1033375332
Name:KRISTIN MILLER OBSTETRICS & GYNECOLOGY PLC
Entity type:Organization
Organization Name:KRISTIN MILLER OBSTETRICS & GYNECOLOGY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-756-6522
Mailing Address - Street 1:8110 N BROTHER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-2760
Mailing Address - Country:US
Mailing Address - Phone:901-255-5221
Mailing Address - Fax:901-373-4511
Practice Address - Street 1:6750 POPLAR AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38138-7438
Practice Address - Country:US
Practice Address - Phone:901-756-6522
Practice Address - Fax:901-435-0928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center