Individual
CAROLYN DIANE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
JAMES H QUILLEN/VAMC, CORDER OF SIDNEY AND LAMONT, MOUNTAIN HOME,, TN 37684
(423) 926-1171
Mailing address
154 SUNNY ACRES RD, JONESBOROUGH, TN 37659-7428
(423) 753-2201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000000943
TN
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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