MEDICARE: MRS. VICTORIA TAYLOR MILLIGAN PA-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	363A00000X	Physician Assistant	2818	TN

General Provider Information

NPI Number	:	1407231079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICTORIA TAYLOR MILLIGAN PA-C

Provider Business Mailing Address
First Line	:	2620 ELM HILL PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3108
Country	:	US
Telephone Number	:	615-425-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9025 HIGHWAY 64
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-8448
Country	:	US
Telephone Number	:	901-387-2998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2015
Last Update Date	:	07/24/2015

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