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Individual

DR. MARSHALL POULNOT MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9101 MONROE RD, SUITE 155, CHARLOTTE, NC 28270-2442
(704) 384-1260
(704) 384-1289
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31334
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124662
SC
05
8957857
NC
Enumeration date
09/20/2005
Last updated
01/24/2023
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