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Individual

TAMINA MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 N STATE ST STE 180, JACKSON, MS 39202-2027
(601) 414-0484
Mailing address
7731 OLD CANTON RD STE B, MADISON, MS 39110-6115
(601) 499-0935
(601) 499-0936

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11035
NV
208000000X
Pediatrics Physician
Primary
27298
MS

Other

Enumeration date
08/02/2006
Last updated
01/15/2024
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