Milligan, Leslie Walton

Milligan, Leslie Walton is an sole proprietor health care provider with primary practice located at 1810 Bishop Street Suite C, Jefferson City TN 37760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Milligan, Leslie Walton can be contacted via phone (865) 475-2061.

Contact Information

Primary practice address
1810 Bishop Street Suite C Jefferson City TN 37760
Phone: (865) 475-2061
Fax: (865) 475-0739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD007731 Tennessee

Profile Details

NPI number 1730159088
LBN Legal business name Milligan, Leslie Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Mar 2nd, 2010 - about 14 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 1730159088 NPPES
Tennessee MEDICAID 3153086

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