Individual
MR. TIMOTHY J. MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1014 SYCAMORE DR, STE. B, DECATUR, GA 30030-1644
(404) 299-1700
(404) 299-1616
Mailing address
5055 HARBOR RIDGE DR, BUFORD, GA 30518-2231
(678) 546-5740
(404) 299-1616
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
RN085585
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN085585
BOARD OF NURSING
GA
Enumeration date
11/06/2006
Last updated
07/08/2007
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