Mills, Anthony Dwayne

Mills, Anthony Dwayne is an individual health care provider with primary practice located at 770 Old Roswell Pl Suite J100, Roswell GA 30076-1670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mills, Anthony Dwayne can be contacted via phone (404) 547-7450.

Contact Information

Primary practice address
770 Old Roswell Pl Suite J100 Roswell GA 30076-1670
Phone: (404) 547-7450
Fax: (770) 643-2011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 044023 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 044023 Georgia

Profile Details

NPI number 1265478234
LBN Legal business name Mills, Anthony Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265478234 NPPES
Georgia Other 044023 GA MEDICAL LIC
Georgia Other 36092640 GA MEDICAL LIC
Georgia Other 11343981 GA MEDICAL LIC
Georgia MEDICAID 000762088D GA MEDICAL LIC

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