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Individual
MARLA EDDINS MILLS
Active
Individual
MARLA EDDINS MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04802
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1864PA
—
SC
05
—
1952724908
—
NC
Enumeration date
01/28/2014
Last updated
10/13/2015
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