Individual
DR. LARRY ETHAN MILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
502 BROAD ST STE 2, COLUMBIA, MS 39429-3037
(601) 736-8282
(601) 736-8333
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
213E00000X
Podiatrist
Primary
80249
MS
Other
Enumeration date
04/15/2020
Last updated
01/27/2025
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