Individual
DR. BEVERLY ANN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 RIVER OAKS DR, SUITE 320, JACKSON, MS 39232-9500
(601) 936-1400
(601) 936-0671
Mailing address
1020 RIVER OAKS DR, SUITE 320, JACKSON, MS 39232-9500
(601) 936-1400
(601) 936-0671
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
07159
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111272
—
MS
01
—
07159
MEDICAL LICENSE
MS
Enumeration date
09/26/2006
Last updated
05/27/2008
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