| Milligan College | |
|
One Blowers Blvd. Athletics Milligan College TN 37682 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Milligan College |
|---|---|
| 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 |
|---|---|
| Milligan College 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | Milligan College One Blowers Blvd. Athletics Milligan College TN 37682 Ph: (972) 367-4845 |
| NPI Number | 1063936235 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 07/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063936235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 000024265 (Tennessee) | Primary |