Provider Demographics
NPI:1508927047
Name:MILAM, CAROL PROOPS (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:PROOPS
Last Name:MILAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 25TH AV N
Mailing Address - Street 2:STE 304
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-342-5850
Mailing Address - Fax:615-342-5860
Practice Address - Street 1:250 25TH AV N
Practice Address - Street 2:STE 304
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-342-5850
Practice Address - Fax:615-342-5860
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD220082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
3065417Medicare ID - Type Unspecified
E27834Medicare UPIN