Provider Demographics
NPI:1215617816
Name:MILLS PHYSICAN ACUTE CARE SERVICES, LLC
Entity type:Organization
Organization Name:MILLS PHYSICAN ACUTE CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SHERWOOD
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-855-0247
Mailing Address - Street 1:2637 DANBURY DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6462
Mailing Address - Country:US
Mailing Address - Phone:850-855-0247
Mailing Address - Fax:
Practice Address - Street 1:1850 SHUG JORDAN PKWY STE 101
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3084
Practice Address - Country:US
Practice Address - Phone:850-855-0247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care