Individual
KEITH MILLS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 BIG SHOT LN, GASTON, SC 29053-8216
(803) 553-3189
Mailing address
130 BIG SHOT LN, GASTON, SC 29053-8216
(803) 553-3189
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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