Organization
MILLS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH EUGENE MILLS JR. (OFFICE MANAGER)
(434) 404-3970
Entity
Organization
Contact information
Practice address
1320 SEYMOUR DR, SOUTH BOSTON, VA 24592-3900
(434) 579-0069
Mailing address
PO BOX 1303, SOUTH BOSTON, VA 24592-1303
(434) 404-3970
(434) 404-3371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
01/18/2022
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