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Individual

LEO KENDRICK MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
979 E. THIRD STREET, SUITE #C-520, CHATTANOOGA, TN 37403
(423) 778-5661
(423) 778-5664
Mailing address
975 E. THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403
(423) 778-5661
(423) 778-5664

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38432
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3895898
TN
Enumeration date
08/23/2006
Last updated
07/21/2022
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