Individual
MILLICENT A MABONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 MCCORD HALL, MEMPHIS, TN 38152-3330
(901) 366-3687
Mailing address
208 MCCORD HALL, MEMPHIS, TN 38152-5411
(901) 678-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144009028
—
TN
Enumeration date
09/28/2023
Last updated
09/08/2025
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