Individual
MICHAEL D MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 255-2527
(304) 255-5675
Mailing address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 255-2527
(304) 255-5675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
308
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550592791-007
BSMT-WV
WV
Enumeration date
06/15/2005
Last updated
08/14/2007
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