Organization
DW MCMILLAN SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK OWENS (ADMINISTRATOR)
(251) 809-8410
Entity
Organization
Contact information
Practice address
1123 BELLEVILLE AVE, BREWTON, AL 36426-1505
(251) 867-8001
(251) 867-9643
Mailing address
1123 BELLEVILLE AVE, BREWTON, AL 36426-1505
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
02/16/2021
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