Individual
LESLIE CAROL MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1303 DANTIGNAC ST STE 2600, AUGUSTA, GA 30901-2796
(706) 854-2500
(706) 854-2559
Mailing address
411 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-2500
(706) 854-2559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN077228
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
GAA-NP004358
GA
363LP0200X
Pediatric Nurse Practitioner
RN077228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000823611D
MEDICAID POB4
GA
01
—
000823611E
MEDICAID EVANS
GA
Enumeration date
11/09/2006
Last updated
01/06/2026
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