Individual
JAKE C. MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10841 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1410
(865) 584-0905
(865) 584-3892
Mailing address
1124 E WEISGARBER RD STE 104, KNOXVILLE, TN 37909-2686
(865) 584-2127
(865) 392-5536
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
58987
TN
207WX0120X
Cornea and External Diseases Specialist Physician
58987
TN
207WX0120X
Cornea and External Diseases Specialist Physician
R6836
TX
Other
Enumeration date
03/29/2014
Last updated
05/01/2019
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