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Individual

DR. MILTON EARL PENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1916 PATTERSON ST, STE 715, NASHVILLE, TN 37203
(615) 321-2711
(615) 321-2714
Mailing address
PO BOX 17798, NASHVILLE, TN 37217
(615) 321-2711
(615) 321-2714

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DPM452
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3734591
TN
01
4123039
BCBS
TN
Enumeration date
01/30/2006
Last updated
09/26/2008
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