Individual
CHARLES R MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3150 E HERITAGE PKWY, FARMINGTON, AR 72730-5529
(479) 400-1140
(479) 400-1151
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-1235
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
E-5405
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168263001
—
AR
Enumeration date
12/13/2005
Last updated
06/20/2022
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