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NPI Code Detail

MEDICARE: SHARON MCMILLAN BA

MEDICARE: SHARON MCMILLAN BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1609200617
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON MCMILLAN BA
Provider Business Mailing Address
First Line : 77 E WOODBURY DR STE 110
Second Line :
City : DAYTON
State : OH
Zip : 45415-2853
Country : US
Telephone Number : 937-373-7848
Fax Number : 513-631-7484
Provider Business Practice Location Address
First Line : 77 E WOODBURY DR STE 110
Second Line :
City : DAYTON
State : OH
Zip : 45415-2853
Country : US
Telephone Number : 937-373-7848
Fax Number : 513-631-7484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 08/18/2025

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