Individual
MARION REYNOLDS MCMILLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
457 E BY PASS 123, SENECA, SC 29678
(864) 886-9888
(864) 886-9777
Mailing address
457 E BYPASS 123, SENECA, SC 29678
(864) 886-9888
(864) 886-9777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15608
SC
207T00000X
Neurological Surgery Physician
15608
SC
208600000X
Surgery Physician
15608
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
15608
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156084
—
SC
Enumeration date
01/11/2006
Last updated
03/29/2012
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