Miller Family Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17217 Issued in TN

Legal business name

MILLER FAMILY MEDICAL CENTER

Practice address

4707 Woodridge Dr
Memphis, TN 38116-7811

Phone

(901) 345-5411

NPI assigned

Jul 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Logan E Miller, M.D.

Title

President

Phone

(901) 345-5411

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1295935708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 WOODRIDGE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167811",
            "telephone_number": "901-345-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 WOODRIDGE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167811",
            "telephone_number": "901-345-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-345-5411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "17217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milk With Tea
• Kristopher John Michael Milland, MD
• Millennium Medical Group of Tennessee PLLC
• Miller Dental Health
• Miller Dental Health
• Adaria Rashawn Miller, RN
• Amanda Miller, MD
• Amie Rae Miller, M.D.
• Amitai Miller, MD/MPP
• Amy Bolt Miller, P.A.-C

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.