Mills, Mark Gregory
Mills, Mark Gregory is an individual health care provider with primary practice located at 1850 Epps Bridge Pkwy Ste 325 , Athens GA 30606-6186. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mills, Mark Gregory can be contacted via phone (706) 433-0311.Contact Information
Primary practice address
1850 Epps Bridge Pkwy Ste 325
Athens GA 30606-6186
Phone: (706) 433-0311
Fax: (706) 433-0312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1288 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1550 | South Carolina |
Profile Details
| NPI number | 1114040763 |
|---|---|
| LBN Legal business name | Mills, Mark Gregory |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1114040763 | NPPES |
| Georgia | Other | OPT001288 | GA. LICENSE |
| Georgia | Other | 1550 | GA. LICENSE |
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