Individual
JANE ELIZABETH MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 W COUNTRY CLUB RD, SUITE 203, ROSWELL, NM 88201-5205
(575) 624-4646
(575) 625-8498
Mailing address
350 W COUNTRY CLUB RD, SUITE 203, ROSWELL, NM 88201-5205
(575) 624-4646
(575) 625-8498
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101233325
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2011-0411
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09856323
—
NM
05
—
6216544
—
VA
Enumeration date
08/09/2006
Last updated
09/15/2020
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