Mcmillan, Ian S
Mcmillan, Ian S is an individual health care provider with primary practice located at 2712 Lawrenceville Hwy , Decatur GA 30033-2512. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mcmillan, Ian S can be contacted via phone (770) 496-5555.Contact Information
Primary practice address
2712 Lawrenceville Hwy
Decatur GA 30033-2512
Phone: (770) 496-5555
Fax: (770) 939-2887
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4760 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004760 | Georgia |
Profile Details
NPI number | 1225083066 |
---|---|
LBN Legal business name | Mcmillan, Ian S |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Aug 18th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225083066 | NPPES |
Georgia | MEDICAID | 153442161K |
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