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Individual

MARK A MILBURN

Active
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Individual

MARK A MILBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD25210
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1825981
UHC
TN
05
—
3085194
—
TN
01
—
4097855
BC
TN
01
—
98476
BC OF ARKANSAS
AR
01
—
P00208961
RR MEDICARE
TN
Enumeration date
08/21/2006
Last updated
12/17/2020
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