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General NPI Number Information
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NPI Number | 1487610945
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Entity Type | Individual
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Provider Name | PHILIP R MILLS MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 101 RIVERSTONE VIS SUITE 205
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City | BLUE RIDGE
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State | GA
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Zip | 30513-6648
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Country | US
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Telephone | 706-632-4100
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Fax | 706-632-3585
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Provider Business Mailing Address
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Address Line | 101 RIVERSTONE VIS SUITE 215
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City | BLUE RIDGE
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State | GA
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Zip | 30513-6648
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Country | US
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Telephone | 706-946-4222
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Fax | 706-946-4223
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 05316
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 56316
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License Number State | GA
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