# MILNER VEIN AND VASCULAR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841789914
- **Authorized official:** DR. TIMOTHY PATTERSON MILNER M.D. (MEDICAL PHYSICIAN/OWNER)
- **Authorized official phone:** (678) 580-1149

## Contact information

- **Practice address:** 5700 HILLANDALE DR STE 150, LITHONIA, GA 30058
- **Practice address phone:** (678) 580-1149
- **Practice address fax:** (770) 557-1347
- **Mailing address:** 5700 HILLANDALE DR STE 150, LITHONIA, GA 30058-4120
- **Mailing address phone:** (678) 580-1149
- **Mailing address fax:** (770) 557-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 59562 | GA | Yes |

## Other

- **Enumeration date:** 05/04/2018
- **Last updated:** 06/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 59562 | GEORGIA LICENSE NUMBER | GA |
| 05 | — | 633601408D | — | GA |