Healthcare Provider Details

I. General information

NPI: 1487537007
Provider Name (Legal Business Name): ABIGAIL REGISTER MILLWOOD APRN, FNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABI MILLWOOD APRN, FNP-BC

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 HARMONY XING STE 5
EATONTON GA
31024-9546
US

IV. Provider business mailing address

226 TWIN BRIDGES RD
EATONTON GA
31024-7333
US

V. Phone/Fax

Practice location:
  • Phone: 706-454-1210
  • Fax: 706-454-1211
Mailing address:
  • Phone: 478-456-5878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP274485
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN274485
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: