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NPI Code Detail

MEDICARE: MONICA P MILLS PAC

MEDICARE: MONICA P MILLS PAC
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
1363AM0700XMedical Physician Assistant103994NC
2363A00000XPhysician Assistant103994NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D4171OTHERNCMEDCOST ID
27530687OTHERNCAETNA ID

General Provider Information

NPI Number : 1598767428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA P MILLS PAC
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1041 NOELL LN
Second Line : SUITE 105
City : ROCKY MOUNT
State : NC
Zip : 27804-2058
Country : US
Telephone Number : 252-451-2700
Fax Number : 252-451-2702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 05/11/2021

Similar Medicare Providers

1700886272 — DR. DANIEL LIND CROCKER M.D.
Practice Location Address:
1041 NOELL LN , SUITE 105
ROCKY MOUNT, NC
27804-2058
Practice Phone: 252-451-2700
Practice Fax: 252-451-2702
1346241601 — DR. JENEE LEE BOWMAN MD
Practice Location Address:
1041 NOELL LN , SUITE 105
ROCKY MOUNT, NC
27804-2058
Practice Phone: 252-451-2700
Practice Fax: 252-451-7939
1184625303 — SEAN M EPPS PAC
Practice Location Address:
1041 NOELL LN , SUITE 105
ROCKY MOUNT, NC
27804-2058
Practice Phone: 252-451-2700
Practice Fax: 252-451-2702
1972505840 — JOHN H SPENCER PA
Practice Location Address:
1041 NOELL LN , SUITE 105
ROCKY MOUNT, NC
27804-2058
Practice Phone: 252-451-2700
Practice Fax: 252-451-2702
1831191758 — CHARLES D HUNTER PA-C
Practice Location Address:
1041 NOELL LN , SUITE 105
ROCKY MOUNT, NC
27804-2058
Practice Phone: 252-451-2700
Practice Fax: 252-451-2702
1487620183 — DR. ROBERT MARK PATE M.D.
Practice Location Address:
1041 NOELL LN , SUITE 103
ROCKY MOUNT, NC
27804-2058
Practice Phone: 252-937-8262
Practice Fax: 252-937-8262

Directions to “ MONICA P MILLS PAC” Practice Location

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