Betty J Mirro, M.D.

NPI #1497754790 in Germantown, Tennessee

Provider Information

NPI Number: 1497754790
Entity Type: Individual
Name: Betty J Mirro, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jul 19, 2005
Last Updated: Mar 8, 2017

Practice Location

Address: 3085 FOUNTAINSIDE DR
Address 2: SUITE 202
City: Germantown
State: Tennessee
ZIP Code: 38138-7842
Phone: (901) 755-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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