Dr Michael L Mills PA

NPI #1790701159 in Loris, South Carolina

Provider Information

NPI Number: 1790701159
Entity Type: Organization
Organization Name: Dr Michael L Mills PA
Primary Specialty: Optometrist
Enumeration Date: Jul 15, 2006
Last Updated: Nov 5, 2009

Practice Location

Address: 3420 BROAD ST
City: Loris
State: South Carolina
ZIP Code: 29569-3002
Phone: (843) 756-6919

Authorized Official

Name: MRS. BARBARA G MILLS
Title: OFFICE MANAGER OWNER
Phone: (843) 756-6919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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