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Individual

BRADLEY MILAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP

Contact information

Practice address
1940 ALCOA HWY STE E210, KNOXVILLE, TN 37920-2264
(865) 524-7471
Mailing address
3413 N FOUNTAINCREST DR, KNOXVILLE, TN 37918-5623
(865) 322-2656

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
23404
TN

Other

Enumeration date
10/21/2017
Last updated
10/21/2017
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