MEDICARE: MILAN MEDICAL CENTER, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073739645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILAN MEDICAL CENTER, P.C.

Provider Business Mailing Address
First Line	:	6041 TELECOM DR
Second Line	:
City	:	MILAN
State	:	TN
Zip	:	38358-3448
Country	:	US
Telephone Number	:	731-686-1505
Fax Number	:	731-686-8174

Provider Business Practice Location Address
First Line	:	6041 TELECOM DR
Second Line	:
City	:	MILAN
State	:	TN
Zip	:	38358-3448
Country	:	US
Telephone Number	:	731-686-1505
Fax Number	:	731-686-8174

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHIRLEY A TODD
Credential	:
Telephone Number	:	731-686-1505

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	09/05/2019

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1811974611 — MR. MICHAEL A MCADOO M.D.
Practice Location Address:

6041 TELECOM DR
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38358-3448

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Directions to “MILAN MEDICAL CENTER, P.C. ” Practice Location

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