Individual
MRS. DAWN C MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2845 TRICOM ST, N CHARLESTON, SC 29406-9172
(843) 797-1770
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1416
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1416
APRN LISENSE
SC
01
—
54 60206
STATE REGISTRATION NUMBER
SC
01
—
571134452
FEDERAL ID
SC
01
—
98466
SC PCF
SC
05
—
GP3438
—
SC
01
—
JBM01311
JUA
SC
05
—
NP0665
—
SC
Enumeration date
07/27/2005
Last updated
07/21/2022
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