MEDICARE: DR. DOUGLAS KEITH MILLS DC

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	111N00000X	Chiropractor	2969	GA

General Provider Information

NPI Number	:	1548579444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS KEITH MILLS DC

Provider Business Mailing Address
First Line	:	1000 WHITLOCK AVE NW
Second Line	:	SUITE 340
City	:	MARIETTA
State	:	GA
Zip	:	30064-5455
Country	:	US
Telephone Number	:	770-367-6222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 WHITLOCK AVE NW
Second Line	:	SUITE 340
City	:	MARIETTA
State	:	GA
Zip	:	30064-5455
Country	:	US
Telephone Number	:	770-367-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2010
Last Update Date	:	09/27/2010

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