Provider Demographics
NPI:1093829640
Name:MILLIGAN, JOEL CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:CHRISTIAN
Last Name:MILLIGAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2337 HOMER CLAYTON DR
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-2205
Mailing Address - Country:US
Mailing Address - Phone:256-582-5131
Mailing Address - Fax:256-582-1100
Practice Address - Street 1:2337 HOMER CLAYTON DR
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-2205
Practice Address - Country:US
Practice Address - Phone:256-582-5131
Practice Address - Fax:256-582-1100
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL23625207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H31188Medicare UPIN