Individual
MICHAEL MILLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036-1728
(888) 663-6331
(415) 272-7176
Mailing address
145 LAKE PARK CT, SHARPSBURG, GA 30277-2164
(770) 362-2569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10856
GA
363A00000X
Physician Assistant
Primary
PA200002358
DC
Other
Enumeration date
12/20/2021
Last updated
04/27/2026
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