Organization
ROBERT D MILLICAN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D MILLICAN O.D. (OPTOMETRIST)
(912) 554-2007
Entity
Organization
Contact information
Practice address
1626 FREDERICA RD STE 101, ST SIMONS ISLAND, GA 31522-2525
(912) 634-5711
(912) 634-5713
Mailing address
1626 FREDERICA RD STE 101, ST SIMONS ISLAND, GA 31522-2525
(912) 634-5711
(912) 634-5713
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPT0245
GA
Other
Enumeration date
06/26/2008
Last updated
09/25/2012
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