Jacob Alexander Mills

Individual provider Anesthesiology Physician · NPI 1457596702

Jacob Alexander Mills is an Anesthesiology Physician in Mountain Home, Tennessee. Practices as a sole proprietor. Licensed in Alabama, Georgia and North Carolina.

Licensed in: AL, GA, NC
In the registry since: 2008
Specialties on file: 3

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Practice location Partly verified

Some contact details are missing from the federal record.

Corner Of Lamont & Veterans Way
Mountain Home, TN 37684
Phone: (423) 926-1171

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Specialties & licences

Interventional Pain Medicine Physician (primary)	Taxonomy 208VP0014X · Licence 2017-00430 (NC)
Anesthesiology Physician	Taxonomy 207L00000X · Licence MD.32772 (AL)
Anesthesiology Physician	Taxonomy 207L00000X · Licence 076029 (GA)

Record details

NPI number	1457596702
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	December 15, 2008
Last updated in NPPES	March 9, 2023
Certification date	March 9, 2023
Mailing address	296 Cardinal Ln, Waynesville, NC 28786-8135