# ESCAMBIA COUNTY HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** D. W. McMillan After Hours Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710265418
- **Authorized official:** STACY HINES (ADMINISTRATOR)
- **Authorized official phone:** (251) 809-8429

## Contact information

- **Practice address:** 1301 BELLEVILLE AVE, BREWTON, AL 36426-1306
- **Practice address phone:** (251) 809-8439
- **Practice address fax:** (251) 809-8214
- **Mailing address:** PO BOX 908, BREWTON, AL 36427-0908
- **Mailing address phone:** (251) 809-8439
- **Mailing address fax:** (251) 809-8214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 09/21/2022