NPI 1538225529

Milligan Med Ped LLC

Organisation Preferred Provider Organization Smyrna, TN

Practice location

Address: 300 Stonecrest Blvd. Suite 290, Smyrna, TN 37167-5688
Phone: (615) 223-5656
Mailing address: 300 Stonecrest Blvd Suite 290, Smyrna, TN 37167-5688

Authorised official

Name: Corbi D Milligan
Title: Owner
Phone: (615) 223-5656

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MD0000038938 (TN)

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Registry record

NPI: 1538225529
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.