Individual
DR. RICHARD HUNT MACMILLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MARTHA JEFFERSON DR., CHARLOTTESVILLE, VA 22911
(434) 654-7190
(434) 654-7944
Mailing address
PO BOX 480, LIMA, OH 45802-0480
(866) 223-6316
(419) 223-2726
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101037032
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006600255
—
VA
01
—
080666
BCBS #
VA
Enumeration date
02/27/2006
Last updated
01/05/2018
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