Provider Demographics
NPI:1558346387
Name:MILLS, GARY E (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:E
Last Name:MILLS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1751 GUNBARREL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7177
Mailing Address - Country:US
Mailing Address - Phone:423-778-9500
Mailing Address - Fax:423-778-9525
Practice Address - Street 1:1751 GUNBARREL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-7177
Practice Address - Country:US
Practice Address - Phone:423-778-9500
Practice Address - Fax:423-778-9525
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2009-01-15
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Provider Licenses
StateLicense IDTaxonomies
TN14289207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3004452Medicare PIN
TN3004450Medicare UPIN
TN3004451Medicare PIN