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Individual

JOHN CALVIN MCMILLAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2308 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 533-4377
(256) 539-7874
Mailing address
2308 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 533-4377
(256) 539-7874

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
243
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-70746
BCBS PROVIDER NUMBER
AL
Enumeration date
06/06/2006
Last updated
07/08/2007
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