Individual
BETTY JO ANN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 244-0100
(812) 232-1517
Mailing address
PO BOX 9524, TERRE HAUTE, IN 47808-9524
(812) 244-0100
(812) 232-1517
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
01062343A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200814770
—
IN
Enumeration date
03/09/2006
Last updated
12/01/2010
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