person
Betty J Mirro, MD
Specialist in Germantown, Tennessee
NPI 1497754790

Betty J Mirro is a Specialist based in Germantown, TN. Betty J Mirro practices in Germantown, TN and has the professional credentials of MD. The NPI Number for Betty J Mirro is 1497754790 and holds a License No. 17702 (Tennessee).

The current practice location address for Betty J Mirro is 3085 Fountainside Dr, Germantown, TN and can be reached out via phone at 901-755-0550 and via fax at 901-755-0474.

Location: 3085 Fountainside Dr, Germantown, TN, 38138-7842
person
Provider Profile Details
NPI Number
1497754790
Provider Name
Betty J Mirro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3085 Fountainside Dr, Germantown, TN, 38138-7842
Phone Number
901-755-0550
Fax Number
901-755-0474
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3370933 05 TN
621756596 01 TN TAX ID#
institution
Provider Business Practice Location Address Details
Address
3085 Fountainside Dr
City
State
Zip
38138-7842
Phone Number
901-755-0550
Fax Number
901-755-0474
person
Provider Business Mailing Address Details
Address
3085 Fountainside Dr
City
State
Zip
38138-7842
Phone Number
901-755-0550
Fax Number
901-755-0474
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
17702 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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