Provider Demographics
NPI:1679790844
Name:MILLS, FRANK HEATH (ATC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:HEATH
Last Name:MILLS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:HEATH
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:260 W CLINTON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:GA
Mailing Address - Zip Code:31032-5464
Mailing Address - Country:US
Mailing Address - Phone:478-256-3111
Mailing Address - Fax:
Practice Address - Street 1:260 W CLINTON ST STE 2
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032-5464
Practice Address - Country:US
Practice Address - Phone:478-256-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT 0004752255A2300X
GAPTA003371225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer