Millennium Independent Provider Network of Georgia, LLC

NPI #1235967548 in Columbus, Georgia

Provider Information

NPI Number: 1235967548
Entity Type: Organization
Organization Name: Millennium Independent Provider Network of Georgia, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 26, 2024
Last Updated: Jul 26, 2024

Practice Location

Address: 610 19TH ST
City: Columbus
State: Georgia
ZIP Code: 31901-1528
Phone: (706) 322-7884

Authorized Official

Name: MARY HALTIGAN
Title: DIRECTOR OF REVENUE CYCLE
Phone: (877) 856-3774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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