Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ALEXANDER MILLS
Active Sole ProprietorJACOB ALEXANDER MILLS is a Interventional Vascular Surgery healthcare provider located in MOUNTAIN HOME, Tennessee. NPI 1457596702 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · MOUNTAIN HOME, TN
Registration Details
- NPI Number
- 1457596702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2008 (17.673603698005 yrs)
- Last Updated
- Mar 9, 2023
- Licenses
-
MD.32772 (AL)076029 (GA)2017-00430 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CORNER OF LAMONT & VETERANS WAYMOUNTAIN HOME, TN, 37684Browse TN providers · Browse ZIP 37684
- Phone
- 4239261171
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.