Provider Demographics
NPI:1013327485
Name:MCMILLAN, DANIEL TAYLOR (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:TAYLOR
Last Name:MCMILLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 BURNETT WOMACK BUILDING
Mailing Address - Street 2:CB#7050
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7050
Mailing Address - Country:US
Mailing Address - Phone:919-966-4320
Mailing Address - Fax:
Practice Address - Street 1:4001 BURNETT WOMACK BUILDING
Practice Address - Street 2:CB#7050
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7050
Practice Address - Country:US
Practice Address - Phone:919-966-4320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201239208600000X
390200000X
NC2018-01747207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program