| Dr Nicole M Miller, MD | |
|
115 Judge Gresham Rd Ste B, Gray, TN 37615-6213 | |
| (423) 477-2010 | |
| Not Available |
| Full Name | Dr Nicole M Miller |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 115 Judge Gresham Rd Ste B, Gray, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841293560 | NPI | - | NPPES |
| 1841293560 | Medicaid | VA | |
| Q003271 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD 29248 (Tennessee) | Primary |
| Entity Name | State Of Franklin Healthcare Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole M Miller, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Dr Nicole M Miller, MD 115 Judge Gresham Rd Ste B, Gray, TN 37615-6213 Ph: (423) 477-2010 |
Dr. Stephen P Combs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Judge Gresham Rd, Suite B, Gray, TN 37615 Phone: 423-477-2885 Fax: 423-477-0113 | |
H Patrick Stern, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Christian Church Rd, Gray, TN 37615 Phone: 423-283-3060 Fax: 423-283-7441 | |
Landon S Combs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Judge Gresham Rd, Suite B, Gray, TN 37615 Phone: 423-477-2885 Fax: 423-477-0113 | |
Jill W Wireman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 151 Lake Harbor Dr, Gray, TN 37615 Phone: 423-956-3187 |