# MARILYN MASON MCMILLEN MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386605798
- **Authorized official:** MARILYN MASON MCMILLEN MD (PRESIDENT)
- **Authorized official phone:** (606) 678-8800

## Contact information

- **Practice address:** 305 LANGDON ST, SOMERSET, KY 42501
- **Practice address phone:** (606) 678-8800
- **Practice address fax:** (606) 679-5238
- **Mailing address:** PO BOX 3310, W SOMERSET, KY 42564
- **Mailing address phone:** (606) 678-8800
- **Mailing address fax:** (606) 679-5238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 05/08/2013