Individual
DONALD M MILLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 W MAIN ST STE 207, LEXINGTON, SC 29072-2500
(803) 358-6420
(803) 358-6450
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233312
—
SC
Enumeration date
03/01/2006
Last updated
11/09/2020
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