Individual
DR. ROBERT W MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 ALBERT BICKNELL DR, STE. 4A, SHREVEPORT, LA 71103
(318) 212-4275
(318) 212-8511
Mailing address
2751 ALBERT BICKNELL DR, STE 4A, SHREVEPORT, LA 71103
(318) 212-4275
(318) 212-8511
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
06902R
LA
208600000X
Surgery Physician
06902R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1390801
—
LA
01
—
5K315F600
MEDICARE - PTAN
LA
Enumeration date
07/25/2006
Last updated
08/15/2022
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