Provider Demographics
NPI:1164662342
Name:MILLS, RHONDA RAE (DC)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:RAE
Last Name:MILLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 ATHENS RD
Mailing Address - Street 2:
Mailing Address - City:CRAWFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30630-2529
Mailing Address - Country:US
Mailing Address - Phone:706-743-3757
Mailing Address - Fax:
Practice Address - Street 1:1071 ATHENS RD
Practice Address - Street 2:
Practice Address - City:CRAWFORD
Practice Address - State:GA
Practice Address - Zip Code:30630-2529
Practice Address - Country:US
Practice Address - Phone:706-743-3575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIROO8449111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor