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NPI Code Detail

MEDICARE: JOHN ERROL MCMILLAN MD

MEDICARE: JOHN ERROL MCMILLAN MD
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
1207P00000XEmergency Medicine Physician016246LA

General Provider Information

NPI Number : 1114024239
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ERROL MCMILLAN MD
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line : STE 201
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 S PINE ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4942
Country : US
Telephone Number : 800-893-9698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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