Provider Demographics
NPI:1609836758
Name:MILLWARD, JOHN ALEXANDER (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ALEXANDER
Last Name:MILLWARD
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2817 ROCK MERRITT AVENUE
Mailing Address - Street 2:WOMACK ARMY MEDICAL CENTER
Mailing Address - City:FORT LIBERTY
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:2817 ROCK MERITT AVENUE
Practice Address - Street 2:WOMACK ARMY MEDICAL CENTER
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-8707
Practice Address - Fax:910-907-6069
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2024-10-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical