Organization
MCMILLAN CORPORATION
Active
Other names
Advanced Hand Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L MCMILLAN JR. (PRESIDENT/OWNER)
(985) 674-4170
Entity
Organization
Contact information
Practice address
594 ASBURY DR, STE A, MANDEVILLE, LA 70471
(985) 674-4170
(985) 674-4172
Mailing address
594 ASBURY DR, STE A, MANDEVILLE, LA 70471-4101
(985) 674-4170
(985) 674-4172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5CQ94
MEDICARE PROVIDER NUMBER/PTAN
LA
Enumeration date
07/17/2006
Last updated
05/17/2013
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