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Individual
MR. MARK A. MILLS
Active
Individual
MR. MARK A. MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001639C
—
GA
05
—
174759447A
—
GA
01
—
202I975249
MEDICARE PTAN
GA
01
—
970009967
RAIL ROAD MEDICARE
GA
Enumeration date
02/01/2007
Last updated
12/30/2025
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