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NPI Code Detail

MEDICARE: MR. WILLIAM BRYANT MILLER DSC, CMPT, FAAOMPT

MEDICARE:  MR. WILLIAM BRYANT MILLER  DSC, CMPT, FAAOMPT
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 Therapist7209TN

General Provider Information

NPI Number : 1477528883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM BRYANT MILLER DSC, CMPT, FAAOMPT
Provider Business Mailing Address
First Line : 516 TREMONT ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-4153
Country : US
Telephone Number : 423-756-4781
Fax Number : 423-756-4782
Provider Business Practice Location Address
First Line : 516 TREMONT ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-4153
Country : US
Telephone Number : 423-756-4781
Fax Number : 423-756-4782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 07/08/2007

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Directions to “ MR. WILLIAM BRYANT MILLER DSC, CMPT, FAAOMPT” Practice Location

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