Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 53574 | TN |
NPI | 1023244506 |
---|---|
Provider Name | Joseph Hardy Miller |
First Address | Chattanooga, TN 37403-2147 |
Second Address | Chattanooga, TN 37403-2109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2009 |
Last Update Date | 04/04/2016 |