MILLS CLINIC A PROFESSIONAL MEDICAL CORPORATION is a primary care clinic center in Shreveport, LA. MILLS CLINIC A PROFESSIONAL MEDICAL CORPORATION NPI is 1649328030. The provider is registered as an organization entity type.
The provider's business location address is:
7225 FERN AVENUE
SUITE 600
SHREVEPORT, LA
ZIP 71105-981
Phone: (318) 629-3630
Fax: (318) 629-3640
The provider's authorized official is Bryan Haywood Mills .
The authorized official title is Md Owner President and has the following contact phone number (318) 629-3630.
The CLIA number assigned to this NPI record is 19D1047971 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 1/8/2007 and was last updated on 10/14/2008.