Mills, Leslie Carol

Mills, Leslie Carol is an individual health care provider with primary practice located at 1303 Dantignac St Ste 2600 , Augusta GA 30901-2796. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mills, Leslie Carol can be contacted via phone (706) 854-2500.

Contact Information

Primary practice address
1303 Dantignac St Ste 2600 Augusta GA 30901-2796
Phone: (706) 854-2500
Fax: (706) 854-2559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RN077228 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN077228 Georgia

Profile Details

NPI number 1043380777
LBN Legal business name Mills, Leslie Carol
Credentials RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jan 24th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043380777 NPPES
Georgia Other 000823611E MEDICAID EVANS
Georgia Other 000823611D MEDICAID EVANS

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