Individual
LAUREN SHAW MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
301 JONES AVE, WAYNESBORO, GA 30830-1510
(706) 554-2176
Mailing address
115 GILLIKIN ST, TWIN CITY, GA 30471-3989
(478) 763-3036
(478) 763-3787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN184339
GA
363L00000X
Nurse Practitioner
Primary
RN184339
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111869A
—
GA
01
—
624907
WELLCARE
GA
05
—
NP1887
—
SC
01
—
P00962297
RAILROAD MEDICARE
GA
Enumeration date
07/11/2011
Last updated
02/21/2025
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