Individual
CHARYSE M MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1605 STATE RD, VINEYARD SQUARE PLAZA, #9, VERMILION, OH 44089-9141
(440) 967-1128
(440) 967-1172
Mailing address
1605 STATE RD, VINEYARD SQUARE PLAZA, #9, VERMILION, OH 44089-9141
(440) 967-1128
(440) 967-1172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34009891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236248
—
OH
05
—
3067354
—
OH
Enumeration date
09/11/2007
Last updated
03/14/2014
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