Mills, Anthony Dwayne
Mills, Anthony Dwayne is an individual health care provider with primary practice located at 770 Old Roswell Pl Suite J100, Roswell GA 30076-1670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mills, Anthony Dwayne can be contacted via phone (404) 547-7450.Contact Information
Primary practice address
770 Old Roswell Pl Suite J100
Roswell GA 30076-1670
Phone: (404) 547-7450
Fax: (770) 643-2011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 044023 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 044023 | Georgia |
Profile Details
| NPI number | 1265478234 |
|---|---|
| LBN Legal business name | Mills, Anthony Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Apr 14th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265478234 | NPPES |
| Georgia | Other | 044023 | GA MEDICAL LIC |
| Georgia | Other | 36092640 | GA MEDICAL LIC |
| Georgia | Other | 11343981 | GA MEDICAL LIC |
| Georgia | MEDICAID | 000762088D | GA MEDICAL LIC |
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