Individual
MICHELE H MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 HEALTH PARK STE 213, RALEIGH, NC 27615-4731
(919) 896-7066
(919) 896-7067
Mailing address
5420 WADE PARK BLVD, STE 106, RALEIGH, NC 27607-4188
(919) 233-5952
(919) 854-7774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0097-00069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038Q
BCBS
NC
05
—
891038Q
—
NC
Enumeration date
06/01/2006
Last updated
08/06/2019
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