Individual
SCOTT MICHAEL MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
615 RIDGE RD, SUITE 202, ROXBORO, NC 27573-4629
(336) 503-5640
(336) 503-5777
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-3159
(252) 209-3049
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
172189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052261
—
NC
Enumeration date
05/26/2006
Last updated
12/31/2025
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