# MILAN MEDICAL CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073739645
- **Authorized official:** SHIRLEY A TODD (OFFICE MANAGER)
- **Authorized official phone:** (731) 686-1505

## Contact information

- **Practice address:** 6041 TELECOM DR, MILAN, TN 38358-3448
- **Practice address phone:** (731) 686-1505
- **Practice address fax:** (731) 686-8174
- **Mailing address:** 6041 TELECOM DR, MILAN, TN 38358-3448
- **Mailing address phone:** (731) 686-1505
- **Mailing address fax:** (731) 686-8174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 09/05/2019