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Individual

ALYSSA A. MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1718 E 4TH ST, SUITE 404, CHARLOTTE, NC 28204-3261
(704) 384-5701
(704) 384-5642
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5701
(704) 384-5642

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2004-00554
NC
207VM0101X
Maternal & Fetal Medicine Physician
01068561A
IN
207VM0101X
Maternal & Fetal Medicine Physician
2004-00544
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1367V
NCBCBS
NC
05
5903342
NC
05
891367
NC
05
Q0055C
SC
Enumeration date
10/25/2006
Last updated
10/25/2020
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