WILLIAM M MILAM MD PC NPI 1679743603

NPI Information

NPI: 1679743603
Provider Name: WILLIAM M MILAM MD PC

Doing Business As: TULLAHOMA FAMILY MEDICAL CENTER

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
1970 NORTH JACKSON STREET
TULLAHOMA, TN
ZIP 37388
Phone: (931) 455-3399
Get Directions

WILLIAM M MILAM MD PC is a medical physician assistant in Tullahoma, TN. WILLIAM M MILAM MD PC NPI is 1679743603. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tullahoma Family Medical Center.

The provider's business location address is:

1970 NORTH JACKSON STREET
TULLAHOMA, TN
ZIP 37388
Phone: (931) 455-3399
Fax: (931) 455-1806

The provider's authorized official is William M Milam .
The authorized official title is Physician Owner and has the following contact phone number (931) 455-3399.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 6/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD0000009974	TENNESSEE	No
2	363AM0700X	Physician Assistant	Medical	MN1186875	TENNESSEE	No
3	363AM0700X	Physician Assistant	Medical	MD000009974	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3728046	MEDICARE PIN	TENNESSEE
2	3728046	OTHER	TENNESSEE	MEDICARE GROUP
3	Q33249	MEDICARE UPIN	TENNESSEE
4	3169159	MEDICARE PIN	TENNESSEE
5	3169159	MEDICAID	TENNESSEE
6	B03327	MEDICARE UPIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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