Individual
SUZANNE VINES MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1800 BUCKNER ST, SUITE C200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Mailing address
1800 BUCKNER ST, SUITE C200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z10975
LA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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