Individual
MR. JASON MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-4498
Mailing address
2004 FLEET ST, BALTIMORE, MD 21231-3025
(410) 342-7407
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002349
MD
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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