Milligan College Sports Medicine | |
One Blowers Blvd. Athletics Milligan College TN 37682 | |
(972) 367-4845 | |
Not Available |
Full Name | Milligan College Sports Medicine |
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Speciality | Family Medicine - Sports Medicine |
Location | One Blowers Blvd., Milligan College, Tennessee |
Authorized Official Name and Position | Mouzon Bass (AGENT) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Milligan College Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | Milligan College Sports Medicine One Blowers Blvd. Athletics Milligan College TN 37682 Ph: (972) 367-4845 |
NPI Number | 1063936235 |
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Provider Enumeration Date | 07/31/2017 |
Last Update Date | 07/31/2017 |
Identifier | Type | State | Issuer |
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1063936235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | 000024265 (Tennessee) | Primary |