Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Betty J Mirro, MD

Individual provider Specialist · NPI 1497754790

Betty J Mirro, MD is a Specialist in Germantown, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3085 Fountainside Dr Ste 202
Germantown, TN 38138-7842
Phone: (901) 755-0550
Fax: (901) 755-0474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17702 (TN)

Record details

NPI number1497754790
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 19, 2005
Last updated in NPPESMarch 8, 2017

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