Individual
MRS. LADAWN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-8090
Mailing address
4765 KITTY DR, MEMPHIS, TN 38128
(901) 517-3007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2839
TN
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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