Individual
DR. CHARLES TAYLOR MILLIRONS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 E 12TH ST, SOUTH PITTSBURG, TN 37380-1633
(423) 837-7144
Mailing address
520 E 12TH ST, SOUTH PITTSBURG, TN 37380-1633
(423) 837-7144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67456
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
06/18/2023
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