Millican, Robert Dancy

Millican, Robert Dancy is an sole proprietor health care provider with primary practice located at 1626 Frederica Rd Ste101, St Simons Island GA 31522. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Millican, Robert Dancy can be contacted via phone (912) 634-5711.

Contact Information

Primary practice address
1626 Frederica Rd Ste101 St Simons Island GA 31522
Phone: (912) 634-5711
Fax: (912) 634-5713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT1245 Georgia

Profile Details

NPI number 1205909389
LBN Legal business name Millican, Robert Dancy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jan 9th, 2013 - about 11 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 1205909389 NPPES
Other 511G700587 MEDICARE PTAN#

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