Organization
DR MICHAEL L MILLS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA G MILLS (OFFICE MANAGER OWNER)
(843) 756-6919
Entity
Organization
Contact information
Practice address
3420 BROAD ST, LORIS, SC 29569-3002
(843) 756-6919
(843) 756-6900
Mailing address
PO BOX 797, LORIS, SC 29569-0797
(843) 756-6919
(843) 756-6900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
639
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9706
—
SC
Enumeration date
07/15/2006
Last updated
11/05/2009
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