Provider Demographics
NPI:1518914753
Name:MCMILLIN, JUNE (M D)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:
Last Name:MCMILLIN
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1109
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-1109
Mailing Address - Country:US
Mailing Address - Phone:706-517-2093
Mailing Address - Fax:706-935-3448
Practice Address - Street 1:1900 N WINSTON RD
Practice Address - Street 2:SUITE 300
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3606
Practice Address - Country:US
Practice Address - Phone:706-935-9024
Practice Address - Fax:706-935-3448
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047923207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD56768Medicare UPIN