Individual
MR. LESLIE WALTON MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 BISHOP STREET, SUITE C, JEFFERSON CITY, TN 37760
(865) 475-2061
(865) 475-0739
Mailing address
1810 BISHOP STREET, SUITE C, JEFFERSON CITY, TN 37760
(865) 475-2061
(865) 475-0739
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD007731
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153086
—
TN
Enumeration date
01/26/2006
Last updated
03/02/2010
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