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Individual

STEPHANIE MCMILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2021 N HIGHLAND AVE STE B6, JACKSON, TN 38305-4949
(731) 664-2860
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3538
TN

Other

Enumeration date
07/01/2019
Last updated
08/19/2024
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