Mills, Deidre

Mills, Deidre is an individual health care provider with primary practice located at 610 19Th St , Columbus GA 31901-1528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mills, Deidre can be contacted via phone (706) 322-7884.

Contact Information

Primary practice address
610 19Th St Columbus GA 31901-1528
Phone: (706) 322-7884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN166187 Georgia

Profile Details

NPI number 1720464225
LBN Legal business name Mills, Deidre
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2015
Last updated Aug 6th, 2015 - about 11 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 1720464225 NPPES
Georgia Other 056655363 DRIVERS LICENSE NUMBER

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