Doctor Name: | ANDREW MILLAN |
NPI Number: | 1013210335 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | L000000007605 |
Business Practice Address: | 3001 Broad St Suite# 202 Chattanooga, TN - 374083027 |
Business Phone Number: | 4236481609 |
Business Fax Number: | 4236481610 |
Mailing Address: | 3001 Broad St, Suite# 202 CHATTANOOGA |
State: | TN |
Postal Code: | 374083027 |
Phone Number: | 4236481609 |
Fax Number: | 4236481610 |
NPI Enumeration Date: | 12/08/2010 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | L000000007605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |