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
Phone: (865) 882-3745
Fax: (865) 882-6072
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013901289 | NPPES |
| Tennessee | Other | 3189752 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | Q066115 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3189752 | RAILROAD MEDICARE |
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