| Mcmillion Medical Group Pc | |
|
400 Whitesport Dr Sw Ste 201 Huntsville AL 35801-6429 | |
| (256) 489-3836 | |
| (256) 489-3940 |
| Full Name | Mcmillion Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Whitesport Dr Sw Ste 201, Huntsville, Alabama |
| Authorized Official Name and Position | David A. Mcmillion (PRESIDENT) |
| Authorized Official Contact | 2564893836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmillion Medical Group Pc 400 Whitesport Dr Sw Ste 201 Huntsville AL 35801-6429 Ph: (256) 489-3836 | Mcmillion Medical Group Pc 400 Whitesport Dr Sw Ste 201 Huntsville AL 35801-6429 Ph: (256) 489-3836 |
| NPI Number | 1730340407 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 12/12/2019 |
| Medicare PECOS PAC ID | 3072665652 |
|---|---|
| Medicare Enrollment ID | O20090713000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730340407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27651 (Alabama) | Primary |
| Provider Name | David A Mcmillion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134339880 PECOS PAC ID: 1456403021 Enrollment ID: I20090713000046 |
| Provider Name | Jessica R Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265932685 PECOS PAC ID: 9739435918 Enrollment ID: I20180629002208 |
| Provider Name | Tiaya A Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467978221 PECOS PAC ID: 7214285865 Enrollment ID: I20180730002936 |
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