Individual
DR. TERRENCE JOHN MILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3616 HOSPITAL ST, SUITE A, PASCAGOULA, MS 39581-4117
(228) 990-9926
Mailing address
PO BOX 1030, PASCAGOULA, MS 39568-1030
(228) 990-9926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MS09641
MS
2084N0400X
Neurology Physician
01077142A
IN
2084N0400X
Neurology Physician
Primary
MS09641
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016486
—
MS
Enumeration date
08/03/2006
Last updated
05/04/2017
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