Mcmillan, Beverly Ann

Mcmillan, Beverly Ann is an individual health care provider with primary practice located at 1020 River Oaks Dr Suite 320, Jackson MS 39232-9500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Mcmillan, Beverly Ann can be contacted via phone (601) 936-1400.

Contact Information

Primary practice address
1020 River Oaks Dr Suite 320 Jackson MS 39232-9500
Phone: (601) 936-1400
Fax: (601) 936-0671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 07159 Mississippi

Profile Details

NPI number 1790886133
LBN Legal business name Mcmillan, Beverly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 27th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790886133 NPPES
Mississippi Other 07159 MEDICAL LICENSE
Mississippi MEDICAID 0111272 MEDICAL LICENSE

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