Individual
GARY ANTHONY MILITANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-4173
Mailing address
1320 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1291
(865) 694-6919
(865) 694-4339
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3051089
—
TN
Enumeration date
07/12/2005
Last updated
06/04/2012
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