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Organization

PATHWAY INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT ALLEN MILLS M.D. (OWNER)
(770) 720-2221
Entity
Organization

Contact information

Practice address
120 HICKORY RD, CANTON, GA 30115-9600
(770) 720-2221
Mailing address
120 HICKORY RD, CANTON, GA 30115-9600
(770) 720-2221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032252
GA

Other

Enumeration date
12/07/2007
Last updated
12/07/2007
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