Individual
SAVANNAH MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6099 MOUNT MORIAH ROAD EXT, MEMPHIS, TN 38115-0313
(901) 433-1133
Mailing address
587 COBBLESTONE LN, HERNANDO, MS 38632-1466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905030
MS
363LF0000X
Family Nurse Practitioner
905030
MS
Other
Enumeration date
11/24/2021
Last updated
11/02/2022
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