Individual
AMY GROSS MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PHD
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-0172
(252) 744-0229
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211693
—
NC
Enumeration date
03/07/2007
Last updated
03/13/2024
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