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Individual

DR. JOE PATTERSON MCMILLIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
340 MEIJER WAY, LEXINGTON, KY 40503-3340
(859) 278-2020
(859) 277-4490
Mailing address
340 MEIJER WAY, LEXINGTON, KY 40503-3340
(859) 278-2020
(859) 277-4490

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1220DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77012201
KY
Enumeration date
10/04/2006
Last updated
01/31/2015
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