Individual
DR. MILFRED OLIN ECKEL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10992 HIGHWAY 51 S, SUITE 100, ATOKA, TN 38004-4944
(901) 837-1711
(901) 837-1232
Mailing address
10992 HIGHWAY 51 S, SUITE 100, ATOKA, TN 38004-4944
(901) 837-1711
(901) 837-1232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2580
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3651450
—
TN
01
—
4041532
BLUE CROSS
TN
Enumeration date
05/04/2006
Last updated
07/08/2007
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