Provider Demographics
NPI:1881071264
Name:MCAMIS, MICHELE MILLER (MD)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:MILLER
Last Name:MCAMIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MICHELE
Other - Middle Name:KIMBERLY
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P O BOX 1000 DEPT 457
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:901-275-3662
Mailing Address - Fax:901-271-0155
Practice Address - Street 1:57 GERMANTOWN CT STE 100
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4274
Practice Address - Country:US
Practice Address - Phone:901-758-7888
Practice Address - Fax:901-266-6445
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN58812208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics