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Individual

DR. THOMAS F MACMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
22995 US HIGHWAY 76, CLINTON, SC 29325-7529
(864) 654-6706
Mailing address
PO BOX 896189, CHARLOTTE, NC 28289-6189
(864) 654-6706
(864) 833-5520

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC0991
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D09916
SC
Enumeration date
12/05/2005
Last updated
01/23/2025
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