Provider Demographics
NPI:1386332252
Name:MILLS, THOMAS A
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:A
Last Name:MILLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8619 SAVANNAH CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-6368
Mailing Address - Country:US
Mailing Address - Phone:865-232-2817
Mailing Address - Fax:
Practice Address - Street 1:8619 SAVANNAH CT
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-6368
Practice Address - Country:US
Practice Address - Phone:865-232-2817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner