Organization
WILLIAM M MILAM MD PC
Active
Other names
Tullahoma Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M MILAM MD (PHYSICIAN OWNER)
(931) 455-3399
Entity
Organization
Contact information
Practice address
1970 NORTH JACKSON STREET, TULLAHOMA, TN 37388
(931) 455-3399
(931) 455-1806
Mailing address
1970 NORTH JACKSON STREET, P O BOX 1147, TULLAHOMA, TN 37388
(931) 455-3399
(931) 455-1806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000009974
TN
363AM0700X
Medical Physician Assistant
Primary
MD000009974
TN
363AM0700X
Medical Physician Assistant
MN1186875
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3169159
—
TN
01
—
3728046
MEDICARE GROUP
TN
Enumeration date
03/05/2008
Last updated
06/07/2010
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