Individual
ROBERT DUNCAN MACMILLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129
(615) 867-6000
Mailing address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 867-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43397
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1514300
MEDICAID MCC TEMP#
TN
05
—
1514300
—
TN
01
—
4234316
BCBS
TN
Enumeration date
03/05/2007
Last updated
11/16/2018
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