MEDICARE: MILLIE C. ASTIN, PHD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	PSY 002201	GA
2	103TC0700X	Clinical Psychologist	PSY 002201	GA
3	103T00000X	Psychologist	PSY 002201	GA

General Provider Information

NPI Number	:	1457563637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLIE C. ASTIN, PHD, PC

Provider Business Mailing Address
First Line	:	1790 CENTURY BLVD.
Second Line	:	SUITE B
City	:	ATLANTA
State	:	GA
Zip	:	30345-3322
Country	:	US
Telephone Number	:	404-248-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	1790 CENTURY BLVD.
Second Line	:	SUITE B
City	:	ATLANTA
State	:	GA
Zip	:	30345-3322
Country	:	US
Telephone Number	:	404-248-1023
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MILLIE C. ASTIN
Credential	:	PHD
Telephone Number	:	404-248-1023

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	09/11/2025

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