Individual
DR. JERREL A MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 843-4060
Mailing address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 843-4060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.8292 GD
SC
Other
Enumeration date
08/12/2013
Last updated
11/14/2013
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