Organization · NPI-2

Milner Vein And Vascular LLC

· Lithonia, GA

NPI number1841789914
StatusActive
Last updated in NPPESJun 28, 2018

Details

NPI
1841789914
Entity type
Organization (NPI-2)
Legal business name
Milner Vein And Vascular LLC
Organization subpart
No
Enumeration date
May 4, 2018
Last updated
Jun 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X 59562GAYes

Practice location

5700 Hillandale Dr Ste 150
Lithonia, GA 30058

Phone 678-580-1149 · Fax 770-557-1347

Mailing address

5700 Hillandale Dr Ste 150
Lithonia, GA 30058-4120

Phone 678-580-1149 · Fax 770-557-1347

Other practice locations

5700 Hillandale Dr Ste 120
Lithonia, GA 30058-4104

Phone 678-580-1149 · Fax 770-557-1347

Authorized official

Timothy Patterson Milner
Medical Physician/Owner
6785801149

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