Individual
DR. CLIFFORD M. MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 S JAMES CAMPBELL BLVD, COLUMBIA, TN 38401-5962
(931) 381-3700
Mailing address
PO BOX 299, MANCHESTER, TN 37349-0299
(931) 728-5607
(931) 728-8354
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD30260
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032043
AETNA HMO
TN
01
—
2040326
UHC
TN
01
—
3079171
B/S OF TN
TN
01
—
347672
HEALTH 123
TN
05
—
3821161
—
TN
01
—
5252368
AETNA PPO
TN
01
—
6539526003
CIGNA PLAN 110
TN
01
—
6539526004
CIGNA PLAN 139
TN
Enumeration date
08/22/2005
Last updated
07/09/2007
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