Milburn, Mark A

Milburn, Mark A is an individual health care provider with primary practice located at 7600 Wolf River Blvd Suite 220, Germantown TN 38138-1785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Milburn, Mark A can be contacted via phone (901) 755-5300.

Contact Information

Primary practice address
7600 Wolf River Blvd Suite 220 Germantown TN 38138-1785
Phone: (901) 755-5300
Fax: (901) 682-1362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD25210 Tennessee

Profile Details

NPI number 1124134564
LBN Legal business name Milburn, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124134564 NPPES
Tennessee MEDICAID 3085194
Tennessee Other 4097855
Tennessee Other P00208961
Tennessee Other 98476
Tennessee Other 1825981

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