MEDICARE: GEORGIA INTERNAL MEDICINE PARTNERS, LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1871650309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA INTERNAL MEDICINE PARTNERS, LLC

Provider Business Mailing Address
First Line	:	1203 GEORGE C WILSON DRIVE, SUITE B
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-4502
Country	:	US
Telephone Number	:	706-447-1118
Fax Number	:	706-826-2775

Provider Business Practice Location Address
First Line	:	1203 GEORGE C. WILSON DRIVE, SUITE B
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-4502
Country	:	US
Telephone Number	:	706-447-1118
Fax Number	:	706-826-2775

Authorized Official
Title or Position	:	MD, OWNER
Name	:	DR. JAMES L MILLEN
Credential	:	MD
Telephone Number	:	706-294-2570

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	05/20/2024

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