Mcmillin, Terry Y

Mcmillin, Terry Y is an individual health care provider with primary practice located at 203 9Th St , Greenwood MS 38930-4015. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcmillin, Terry Y can be contacted via phone (662) 459-1367.

Contact Information

Primary practice address
203 9Th St Greenwood MS 38930-4015
Fax: (662) 459-1368
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 207V00000X Mississippi

Profile Details

NPI number 1679505853
LBN Legal business name Mcmillin, Terry Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 7th, 2011 - about 14 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 1679505853 NPPES
Mississippi MEDICAID 00117104
Mississippi Other 13194

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