Milam, Jacqueline Denise
Milam, Jacqueline Denise is an individual health care provider with primary practice located at 490 Dunlop Ln , Clarksville TN 37040-5007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Milam, Jacqueline Denise can be contacted via phone (931) 245-8300.Contact Information
Primary practice address
490 Dunlop Ln
Clarksville TN 37040-5007
Phone: (931) 245-8300
Fax: (931) 245-8360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21903 | Tennessee |
Profile Details
| NPI number | 1972584993 |
|---|---|
| LBN Legal business name | Milam, Jacqueline Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Aug 29th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972584993 | NPPES |
| Tennessee | MEDICAID | Q004447 |
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