Individual
MS. TAMMY B MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4604 IRONWOOD RD, MULLINS, SC 29574-6885
(843) 468-1299
Mailing address
4604 IRONWOOD RD, MULLINS, SC 29574-6885
(843) 468-1299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92865
SC
363LF0000X
Family Nurse Practitioner
Primary
24552
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
24552
SC
Other
Enumeration date
08/26/2020
Last updated
02/09/2026
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