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NPI Code Detail

MEDICARE: WILLIAM M MILAM M.D.

MEDICARE:   WILLIAM M MILAM  M.D.
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
1174400000XSpecialistMD0000009974TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13728046OTHERTNGROUP NUMBER FOR MEDICARE

General Provider Information

NPI Number : 1477556959
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M MILAM M.D.
Provider Business Mailing Address
First Line : 1970 N JACKSON ST
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-8240
Country : US
Telephone Number : 931-455-3399
Fax Number : 931-455-1806
Provider Business Practice Location Address
First Line : 1970 N JACKSON ST
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-8240
Country : US
Telephone Number : 931-455-3399
Fax Number : 931-455-1806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 05/19/2011

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Directions to “ WILLIAM M MILAM M.D.” Practice Location

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