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Individual

DR. ROBERT JOHN MACMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
33547
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72902051
CO
Enumeration date
11/21/2006
Last updated
02/19/2021
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