Milligan College

Organization Sports Medicine (Family Medicine) Physician · NPI 1063936235

Milligan College is a Sports Medicine (Family Medicine) Physician in Milligan College, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in: TN
In the registry since: 2017

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Practice location Partly verified

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One Blowers Blvd Athletics
Milligan College, TN 37682
Phone: (972) 367-4845

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Specialties & licences

Sports Medicine (Family Medicine) Physician (primary)	Taxonomy 207QS0010X · Licence 000024265 (TN)

Record details

NPI number	1063936235
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Mouzon Bass — Agent · (972) 367-4845
Other names	Milligan College Sports Medicine
NPI enumerated	July 31, 2017
Last updated in NPPES	July 31, 2017
Mailing address	5050 Spring Valley Rd, Dallas, TX 75244-3995