Individual
MILES MALLICOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1110 MARKET ST STE 502, CHATTANOOGA, TN 37402-3310
(423) 602-9530
Mailing address
1110 MARKET ST STE 502, CHATTANOOGA, TN 37402-3310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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