Individual
DR. PHILIP R MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 RIVERSTONE VIS, SUITE 205, BLUE RIDGE, GA 30513-6648
(706) 632-4100
(706) 632-3585
Mailing address
101 RIVERSTONE VIS, SUITE 215, BLUE RIDGE, GA 30513-6648
(706) 946-4222
(706) 946-4223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
05316
GA
208100000X
Physical Medicine & Rehabilitation Physician
56316
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685603253C
—
GA
Enumeration date
04/25/2006
Last updated
03/07/2023
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