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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1225083066 NPPES
Georgia MEDICAID 153442161K

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