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General NPI Number Information
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NPI Number | 1861636458
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Entity Type | Individual
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Provider Name | MICHAEL VERNON MILLS M.D
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Gender | Male
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 440 CHARTER BLVD STE 3302
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City | MACON
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State | GA
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Zip | 31210-0711
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Country | US
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Telephone | 478-200-5710
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Fax | 770-953-6972
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Provider Business Mailing Address
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Address Line | 900 CIRCLE 75 PKWY SE STE 1700
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City | ATLANTA
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State | GA
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Zip | 30339-3087
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Country | US
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Telephone | 770-953-6929
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Fax | 770-953-6972
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 48907
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | D0083611
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 99541
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License Number State | GA
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