Provider Demographics
NPI:1831384288
Name:STEVEN L MILLER MD PLC
Entity type:Organization
Organization Name:STEVEN L MILLER MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:931-552-0380
Mailing Address - Street 1:1731 MEMORIAL DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4523
Mailing Address - Country:US
Mailing Address - Phone:931-552-0380
Mailing Address - Fax:
Practice Address - Street 1:1731 MEMORIAL DR
Practice Address - Street 2:SUITE 105
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4523
Practice Address - Country:US
Practice Address - Phone:931-552-0380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42509208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty