Individual
CHARLES MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N MAIN ST, TOMPKINSVILLE, KY 42167-1037
(270) 901-5000
(270) 842-5268
Mailing address
800 N MAIN ST, TOMPKINSVILLE, KY 42167-1037
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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