Individual
JANETE M MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1144A N. ROAD STREET, ELIZABETH CITY, VA 27909
(252) 384-4122
(252) 384-4220
Mailing address
9568 KINGS CHARTER DR, SUITE 202, ASHLAND, VA 23005-0078
(804) 266-8717
(804) 266-5677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101054594
VA
2085R0001X
Radiation Oncology Physician
Primary
2013-00861
NC
2085R0001X
Radiation Oncology Physician
C10008594
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639130602
—
DE
01
—
2123336
AETNA
—
01
—
2177873
MAMSI & ONE-NET PPO
DE
01
—
2486021003
CIGNA
—
01
—
289344
MAMSI
—
01
—
330472
CAREFIRST
—
01
—
334073
ANTHEM
—
01
—
5119504
AETNA
—
01
—
920004542
RAILROAD MEDICARE
—
Enumeration date
03/30/2006
Last updated
03/15/2017
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