Provider Demographics
NPI:1861759730
Name:MILO, WILLIAM ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:MILO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 BARONY ST
Mailing Address - Street 2:SUITE #105
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-3145
Mailing Address - Country:US
Mailing Address - Phone:843-761-1790
Mailing Address - Fax:843-761-1786
Practice Address - Street 1:421 BARONY ST
Practice Address - Street 2:SUITE #105
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3145
Practice Address - Country:US
Practice Address - Phone:843-761-1790
Practice Address - Fax:843-761-1786
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3850111N00000X
FLCH 10623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor