Individual
DEBRA Q MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD, GROUND FL, JOHNSON CITY, TN 37604-6062
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7320
(423) 439-7343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD27141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509013
—
TN
Enumeration date
09/16/2005
Last updated
01/23/2024
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