# MILLS FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205505344
- **Authorized official:** KENNETH EUGENE MILLS JR. (OFFICE MANAGER)
- **Authorized official phone:** (434) 404-3970

## Contact information

- **Practice address:** 1320 SEYMOUR DR, SOUTH BOSTON, VA 24592-3900
- **Practice address phone:** (434) 579-0069
- **Mailing address:** PO BOX 1303, SOUTH BOSTON, VA 24592-1303
- **Mailing address phone:** (434) 404-3970
- **Mailing address fax:** (434) 404-3371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2021
- **Last updated:** 01/18/2022