Individual
MR. JEFF A MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
185 WESLEY REED DR, STE. E, ATOKA, TN 38004-4955
(901) 840-3937
(901) 840-3395
Mailing address
PO BOX 383, ATOKA, TN 38004-0383
(901) 840-3937
(901) 840-3395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1601
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3941960
—
TN
Enumeration date
12/21/2005
Last updated
04/15/2024
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