Individual
WILLIAM C MCMILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4617 FORT HENRY DR, KINGSPORT, TN 37663-2616
(423) 239-5491
(423) 239-4860
Mailing address
4617 FORT HENRY DR, KINGSPORT, TN 37663-2616
(423) 239-5491
(423) 239-4860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
621039107
TN
Other
Enumeration date
07/24/2006
Last updated
05/04/2010
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