Sedrick Terrell Milton II

Individual provider Active NPI Peer Specialist · Independence, LA

NPI 1417596271 · NPPES record last updated Dec 26, 2019

Key facts

NPI
1417596271
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
51472 Harrison Milton LN
Independence, LA 70443-2269
Phone
(985) 974-8983
NPI assigned
Dec 26, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X LA Yes

Addresses

Primary practice location

51472 Harrison Milton LN
Independence, LA 70443-2269

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803
Phone (225) 929-9783

Other providers in Independence, LA

All providers in Independence, LA · Peer Specialist in Louisiana

Sources for this page

Verify at the official NPI Registry.