Individual
ALICIA MEBANE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
PO BOX 307, MEBANE, NC 27302-0307
(336) 213-6477
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG02200105
NC
Other
Enumeration date
07/29/2020
Last updated
07/30/2020
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