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Individual

MICHAEL KENNETH MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
135 MOCKSVILLE AVE, SALISBURY, NC 28144-3323
(704) 645-9200
(704) 637-9815
Mailing address
135 MOCKSVILLE AVE, SALISBURY, NC 28144-3323
(704) 645-9200
(704) 637-9815

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27955
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2624039004
CIGNA
01
399524
MAMSI
01
59475
BLUE CROSS
05
8959475
NC
01
C5979
MEDCOST
Enumeration date
10/26/2005
Last updated
09/13/2011
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