Organization
LOUISVILLE SURGICAL BARIATRIC ASSOCIATES,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY D MCMILLIN M.D. (PHYSICIAN)
(502) 366-1090
Entity
Organization
Contact information
Practice address
4402 CHURCHMAN AVE, SUITE 302, LOUISVILLE, KY 40215-1190
(502) 366-1090
(502) 366-1564
Mailing address
4402 CHURCHMAN AVE, SUITE 302, LOUISVILLE, KY 40215-1190
(502) 366-1090
(502) 366-1564
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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