Provider Demographics
NPI:1376517557
Name:MILLS, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:MILLS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2501 CITICO AVE
Mailing Address - Street 2:CHATTANOOGA HEART INSTITUTE
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1127
Mailing Address - Country:US
Mailing Address - Phone:423-697-2000
Mailing Address - Fax:423-697-2118
Practice Address - Street 1:400 BERYWOOD TRL NW
Practice Address - Street 2:SUITE A
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-5287
Practice Address - Country:US
Practice Address - Phone:423-697-2000
Practice Address - Fax:423-697-2118
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2013-05-02
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Provider Licenses
StateLicense IDTaxonomies
TN26816207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3091242Medicaid
TN103I061768Medicare PIN
TN3091242Medicaid