Individual
MR. EDWARD LEVON MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 SOMMERSET DR, CLAYTON, NC 27520-5658
(919) 934-1136
Mailing address
916 LYNN DR, KINSTON, NC 28504-1532
(252) 527-5367
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MHL-051-160
NC
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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