Healthcare Provider Details

I. General information

NPI: 1013687201
Provider Name (Legal Business Name): KARI LYN MILLS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MORRISON MOORE PKWY W
DAHLONEGA GA
30533-1588
US

IV. Provider business mailing address

PO BOX 742616
ATLANTA GA
30374-2616
US

V. Phone/Fax

Practice location:
  • Phone: 770-219-9475
  • Fax: 706-864-4484
Mailing address:
  • Phone: 770-219-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN258140
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: