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Individual

DR. THOMAS RICHERSON MILAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2017 JEFFERSON ST SW FL 2, ROANOKE, VA 24014-2419
(910) 616-9192
Mailing address
2752 JEFFERSON ST SE, ROANOKE, VA 24014-3318
(540) 795-2529

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD187125
OR
2084P0800X
Psychiatry Physician
Primary
0101226833
VA
2084P0800X
Psychiatry Physician
115-320
WI
2084P0800X
Psychiatry Physician
166864
AK
2084P0800X
Psychiatry Physician
2018032731
MO
2084P0800X
Psychiatry Physician
63624
MN
2084P0800X
Psychiatry Physician
C172244
CA
2084P0800X
Psychiatry Physician
MD60850087
WA
2084P0800X
Psychiatry Physician
R6442
TX

Other

Enumeration date
12/13/2005
Last updated
08/01/2024
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