Organization
KIMBERLY M MILLS, MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY M MILLS MD (OWNER)
(318) 388-0032
Entity
Organization
Contact information
Practice address
2804 FORSYTHE AVE, MONROE, LA 71201-3008
(318) 388-0032
(318) 388-0491
Mailing address
2804 FORSYTHE AVE, MONROE, LA 71201-3008
(318) 388-0032
(318) 388-0491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD026345
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578584
—
LA
Enumeration date
03/15/2007
Last updated
07/21/2022
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