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Individual

PATRICK L MILLS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15505
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0366100001
CIGNA GOVERNMENT SERVICES PTAN
AL
01
511-19030
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
01
511-19972
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/03/2006
Last updated
05/15/2013
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