Individual
MELISSA MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1803 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 297-0114
Mailing address
PO BOX 12427, TALLAHASSEE, FL 32317-2427
(850) 297-0114
(850) 297-2020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME94363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274619100
—
FL
Enumeration date
08/10/2006
Last updated
10/30/2013
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