Provider Demographics
NPI:1558373043
Name:MILLEN, JAMES L (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:MILLEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1203B GEORGE C WILSON DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-4502
Mailing Address - Country:US
Mailing Address - Phone:706-447-1118
Mailing Address - Fax:706-826-2775
Practice Address - Street 1:1203B GEORGE C WILSON DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-4502
Practice Address - Country:US
Practice Address - Phone:706-447-1118
Practice Address - Fax:706-826-2775
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2019-06-11
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Provider Licenses
StateLicense IDTaxonomies
GA030834207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA205991996001OtherBCBS
GAD40655Medicare UPIN