Mcmillin, Rodney Moore

Mcmillin, Rodney Moore is an sole proprietor health care provider with primary practice located at 408 N Roane St , Harriman TN 37748-2057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcmillin, Rodney Moore can be contacted via phone (865) 882-3745.

Contact Information

Primary practice address
408 N Roane St Harriman TN 37748-2057
Fax: (865) 882-6072
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11665 Tennessee

Profile Details

NPI number 1013901289
LBN Legal business name Mcmillin, Rodney Moore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jun 25th, 2021 - about 5 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 1013901289 NPPES
Tennessee Other 3189752 RAILROAD MEDICARE
Tennessee MEDICAID Q066115 RAILROAD MEDICARE
Tennessee MEDICAID 3189752 RAILROAD MEDICARE

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