Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 0101033817 | VA |
NPI | 1144217126 |
---|---|
Provider Name | Dr. Daniel Burnes Mcmillan |
First Address | Fishersville, VA 22939-2348 |
Second Address | Fishersville, VA 22939-2348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C36514 | (02) | VA |