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Organization
MILLIGAN MED PED LLC
Active
Organization
MILLIGAN MED PED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORBI D MILLIGAN M.D. (OWNER)
(615) 223-5656
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD., SUITE 290, SMYRNA, TN 37167-5688
(615) 223-5656
Mailing address
300 STONECREST BLVD, SUITE 290, SMYRNA, TN 37167-5688
(615) 223-5656
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MD0000038938
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306894860
NPI # CORBI MILLIGAN MD
TN
01
—
MD0000038938
STATE LICENSE#
TN
Enumeration date
12/28/2006
Last updated
03/07/2023
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