Healthcare Provider Details

I. General information

NPI: 1508927047
Provider Name (Legal Business Name): CAROL PROOPS MILAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CORTLAND ACRES LN
THOMAS WV
26292-8066
US

IV. Provider business mailing address

25 W BLUEMONT ST
GRAFTON WV
26354-1242
US

V. Phone/Fax

Practice location:
  • Phone: 304-463-3331
  • Fax: 304-463-3338
Mailing address:
  • Phone: 304-265-0312
  • Fax: 304-265-0314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD22008
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: