Individual provider · NPI-1
Charles R Mills, MD
Internal Medicine, Rheumatology · Farmington, AR
NPI number1689659674
StatusActive
Last updated in NPPESJun 20, 2022
Details
- NPI
- 1689659674
- Entity type
- Individual (NPI-1)
- Name
- Charles R Mills
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2005
- Certification date
- Jun 20, 2022
- Last updated
- Jun 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | E-5405 | AR | Yes |
Practice location
3150 E Heritage PkwyFarmington, AR 72730-5529
Phone 479-400-1140 · Fax 479-400-1151
Mailing address
Po Box 497Augusta, AR 72006-0497
Phone 870-347-2534 · Fax 870-347-1235
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