Individual
LISA SIMS MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2630 E 7TH ST, CHARLOTTE, NC 28204-4318
(704) 384-7508
(704) 384-8666
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7508
(704) 384-8666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200900234
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912001
—
NC
05
—
NC1049
—
SC
Enumeration date
04/20/2007
Last updated
06/15/2023
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