Organization
BLUE RIDGE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP R MILLS M.D. (OWNER/PHYSICIAN)
(706) 946-4227
Entity
Organization
Contact information
Practice address
101 RIVERSTONE VIS, STE 215, BLUE RIDGE, GA 30513-6648
(706) 946-4227
(706) 258-4175
Mailing address
101 RIVERSTONE VIS, STE 215, BLUE RIDGE, GA 30513-6648
(706) 946-4227
(706) 258-4175
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
056316
GA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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