Provider Demographics
NPI:1770178998
Name:MILTON, ALLEN
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:
Last Name:MILTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:38362-9811
Mailing Address - Country:US
Mailing Address - Phone:731-616-1118
Mailing Address - Fax:731-736-3678
Practice Address - Street 1:225 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:OAKFIELD
Practice Address - State:TN
Practice Address - Zip Code:38362-9811
Practice Address - Country:US
Practice Address - Phone:731-616-1118
Practice Address - Fax:731-736-3678
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide