Justin Mcmillian

NPI #1740658129 in Tompkinsville, Kentucky

Provider Information

NPI Number: 1740658129
Entity Type: Individual
Name: Justin Mcmillian
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 2, 2015
Last Updated: Sep 2, 2015

Practice Location

Address: 800 N MAIN ST
City: Tompkinsville
State: Kentucky
ZIP Code: 42167-1037
Phone: (270) 901-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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