Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 9376178-1205 | UT |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 9376178-1205 | UT |
NPI | 1013207133 |
---|---|
Provider Name | Dr. Eric Austin Millican |
First Address | Nashville, TN 37212-3504 |
Second Address | Nashville, TN 37204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 22/11/2021 |