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Individual

DR. MARK GREGORY MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1850 EPPS BRIDGE PKWY STE 325, ATHENS, GA 30606-6186
(706) 433-0311
(706) 433-0312
Mailing address
1850 EPPS BRIDGE PKWY STE 325, ATHENS, GA 30606-6186
(706) 433-0311
(706) 433-0312

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1288
GA
152W00000X
Optometrist
1550
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1550
SOUTH CAROLINA BOARD OF OPTOMETRY
SC
01
OPT001288
GA. LICENSE
GA
Enumeration date
04/09/2007
Last updated
03/07/2023
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