Organization
MILNER VEIN AND VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PATTERSON MILNER M.D. (MEDICAL PHYSICIAN/OWNER)
(678) 580-1149
Entity
Organization
Contact information
Practice address
5700 HILLANDALE DR STE 150, LITHONIA, GA 30058
(678) 580-1149
(770) 557-1347
Mailing address
5700 HILLANDALE DR STE 150, LITHONIA, GA 30058-4120
(678) 580-1149
(770) 557-1347
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
59562
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59562
GEORGIA LICENSE NUMBER
GA
05
—
633601408D
—
GA
Enumeration date
05/04/2018
Last updated
06/28/2018
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