Individual
MARK JOHN MILONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 660-8336
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 256-7632
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
71341
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00687
BCBSN
NE
05
—
47075927913
—
NE
Enumeration date
06/09/2006
Last updated
09/20/2024
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