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NPI Code Detail

MEDICARE: ANN MILLER TALLENT DPT

MEDICARE: ANN MILLER TALLENT DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist7369TN

General Provider Information

NPI Number : 1073572392
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MILLER TALLENT DPT
Provider Business Mailing Address
First Line : 800 CRESCENT CENTRE DR STE 300
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7285
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-221-9054
Provider Business Practice Location Address
First Line : 502 N MARKET ST
Second Line : SUITE 102
City : CHATTANOOGA
State : TN
Zip : 37405-4438
Country : US
Telephone Number : 423-664-1070
Fax Number : 423-664-1071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 10/03/2019

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