Healthcare Provider Details

I. General information

NPI: 1215906607
Provider Name (Legal Business Name): WILLIAM A MILLS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNC SCHOOL OF MEDICINE 231 MACNIDER -- CB #7225
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

UNC SCHOOL OF MEDICINE 231 MACNIDER -- CB #7225
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-2504
  • Fax: 919-966-3852
Mailing address:
  • Phone: 919-966-2504
  • Fax: 919-966-3852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0060461
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number2008-00312
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: