Individual
DR. GEORGE WESLEY MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BLDG 2441 21ST STREET, US ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223-5369
(270) 798-8977
(270) 956-0266
Mailing address
BLDG 2441 21ST STREET, US ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223-5369
(270) 798-8977
(270) 956-0266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4027
TN
1223G0001X
General Practice Dentistry
Primary
4027
TN
Other
Enumeration date
02/14/2006
Last updated
06/27/2016
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