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Individual

WILLIAM M MILAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1970 N JACKSON ST, TULLAHOMA, TN 37388-8240
(931) 455-3399
(931) 455-1806
Mailing address
1970 N JACKSON ST, TULLAHOMA, TN 37388-8240
(931) 455-3399
(931) 455-1806

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000009974
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3728046
GROUP NUMBER FOR MEDICARE
TN
Enumeration date
05/27/2005
Last updated
05/19/2011
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