Justin McMillian
Individual provider Active NPI Peer Specialist · Tompkinsville, KY
NPI 1740658129 · NPPES record last updated Sep 2, 2015
Key facts
- NPI
- 1740658129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 800 N Main St
Tompkinsville, KY 42167-1037 - Phone
- (270) 901-5000
- Fax
- (270) 487-5948
- NPI assigned
- Sep 2, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
800 N Main St
Tompkinsville, KY 42167-1037
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other providers in Tompkinsville, KY
- LP Tompkinsville, LLC
- Andrea Moore McAlpin
- Laura McCarty
- Lindsay McCoy
- Charles McMillian
- Caylan McPherson
- Shaun Brantley McPherson
- Med-Coe Inc
- Medical Adrenaline, LLC
- Middle Tennessee Anesthesia, PLLC
All providers in Tompkinsville, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.