Individual
DR. SHARON ANNE MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 SILVER STREET, SUITE 214, AGAWAM, MA 01001
(413) 209-9394
(413) 209-8579
Mailing address
200 SILVER STREET, SUITE 214, AGAWAM, MA 01001
(413) 209-9394
(413) 209-8579
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
204995
MA
207VG0400X
Gynecology Physician
Primary
204995
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124061
—
MA
Enumeration date
05/04/2006
Last updated
09/06/2012
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