Individual
KATHERINE MADISON MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
741 SE MAIN ST, SIMPSONVILLE, SC 29681-3237
(864) 522-8420
(864) 522-8425
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009641
GA
207R00000X
Internal Medicine Physician
85580
SC
207RG0100X
Gastroenterology Physician
72379
AZ
207RG0100X
Gastroenterology Physician
Primary
85580
SC
Other
Enumeration date
04/10/2017
Last updated
02/23/2026
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