Individual
TIMOTHY C MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3418 CASEY ST, LORIS, SC 29569
(843) 756-7885
(843) 756-7855
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 756-7885
(843) 756-7855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0042
—
SC
05
—
TL5402
—
SC
Enumeration date
09/27/2006
Last updated
02/22/2021
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