Individual
MR. MARK A. MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3465 MACON RD, STE D, COLUMBUS, GA 31907-2582
(706) 243-3051
(706) 243-2027
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905-2102
(706) 544-2625
(762) 408-8154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001639C
—
GA
05
—
174759447A
—
GA
01
—
202I975249
MEDICARE PTAN
GA
01
—
970009967
RAIL ROAD MEDICARE
GA
Enumeration date
02/01/2007
Last updated
12/30/2025
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