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NPI Code Detail

MEDICARE: DR. KATHERINE ERIKA MILBURY DO

MEDICARE: DR. KATHERINE ERIKA MILBURY DO
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
1208M00000XHospitalist Physician34016943OH
2208000000XPediatrics Physician34016943OH
3208000000XPediatrics Physician1691NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619334539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE ERIKA MILBURY DO
Provider Business Mailing Address
First Line : WINN ARMY HOSPITAL
Second Line : 1061 HARMON AVE
City : FT. STEWAR
State : GA
Zip : 31314
Country : US
Telephone Number : 912-435-5687
Fax Number :
Provider Business Practice Location Address
First Line : 1061 HARMON AVE
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-5687
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2016
Last Update Date : 01/25/2024

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