Individual
JAMES B MCMILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
921 S HAGUE AVE, COLUMBUS, OH 43204-2305
(614) 348-0452
Mailing address
921 S HAGUE AVE, COLUMBUS, OH 43204-2305
(614) 348-0452
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2566969
—
OH
Enumeration date
09/18/2020
Last updated
10/01/2020
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