Individual
DR. ROBERT CHARLES MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL CENTER DR, FORT PAYNE, AL 35968
(256) 845-3150
Mailing address
PO BOX 680949, FORT PAYNE, AL 35968-1610
(256) 997-2189
(256) 638-7445
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27980
AL
2085R0202X
Diagnostic Radiology Physician
28672
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941512
—
AL
01
—
515-39513
BC BS OF AL
AL
Enumeration date
07/20/2005
Last updated
07/08/2007
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