Individual
MARY MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
DO
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
2106 HOLLY HILL DR, TUPELO, MS 38801-2386
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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