Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | AL 3691 | AL |
NPI | 1134132400 |
---|---|
Provider Name | Dr. James V Mills |
First Address | Tuscaloosa, AL 35404-2962 |
Second Address | Tuscaloosa, AL 35404-2962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |