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Individual

DR. MERLE E MILBURN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1575 CHATTANOOGA AVE STE 1, DALTON, GA 30720
(706) 876-2130
(706) 876-2168
Mailing address
1575 CHATTANOOGA AVE STE 1, DALTON, GA 30720
(706) 876-2130
(706) 876-2168

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32432
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100380630B
KS
Enumeration date
05/23/2006
Last updated
03/23/2011
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