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Individual

DAVID MACMILLAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 S MAIN ST, SUITE 2, BLACKSBURG, VA 24060-6600
(540) 552-8346
Mailing address
1901 S MAIN ST, SUITE 2, BLACKSBURG, VA 24060-6600
(540) 552-8346

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101051292
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163004
ANTHEM
VA
01
6807964
CIGNA
VA
Enumeration date
02/22/2006
Last updated
07/08/2007
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