Individual provider · Type 1 NPI

Betty J. Mirro, MD

Specialist · Germantown, TN

NPI number 1497754790 Active

Practice location

3085 Fountainside Dr, Suite 202
Germantown, TN 38138-7842

Call (901) 755-0550 Map

Fax (901) 755-0474

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X17702 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497754790

Betty J. Mirro, MD's National Provider Identifier is 1497754790, issued on Jul 19, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Germantown, TN. The record was last updated on Mar 8, 2017.