Mills, Marvin L

Mills, Marvin L is an individual health care provider with primary practice located at 2367 Chattanooga Valley Rd , Flintstone GA 30725-2035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mills, Marvin L can be contacted via phone (706) 820-2060.

Contact Information

Primary practice address
2367 Chattanooga Valley Rd Flintstone GA 30725-2035
Fax: (706) 820-2090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18710 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 7784 Tennessee

Profile Details

NPI number 1639147820
LBN Legal business name Mills, Marvin L
Credentials MD FACC PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 22nd, 2008 - about 18 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 1639147820 NPPES
Georgia Other 408113152 RR MCRE
Georgia MEDICAID 000119996A RR MCRE
Georgia Other 2004595 RR MCRE

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