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Individual

MR. HARRY JACOB MILLS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, ATC, LAT

Contact information

Practice address
304 SHORTER AVE NW, SUITE 101, ROME, GA 30165-4290
(706) 509-3400
(706) 509-3406
Mailing address
62 CENTERPORT DR, WHITE, GA 30184-2770
(706) 509-3400
(706) 509-3406

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0001299
GA

Other

Enumeration date
03/24/2007
Last updated
11/15/2007
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