Provider Demographics
NPI:1023014347
Name:MCMILLAN, TOD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:TOD
Middle Name:ALAN
Last Name:MCMILLAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:320 PROSPERITY DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4709
Mailing Address - Country:US
Mailing Address - Phone:423-756-1512
Mailing Address - Fax:
Practice Address - Street 1:1124 E WEISGARBER RD
Practice Address - Street 2:STE 207
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2686
Practice Address - Country:US
Practice Address - Phone:865-588-0811
Practice Address - Fax:865-584-2153
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2020-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN29185207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006303447Medicaid
TN180028977OtherRAILROAD MEDICARE
TN3811425Medicaid
TNG05932Medicare UPIN
TN3811425Medicare PIN