Provider Demographics
NPI:1295701563
Name:MILLS, CRAIG A (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:A
Last Name:MILLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:60 LIVINGSTON STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4400
Mailing Address - Country:US
Mailing Address - Phone:828-253-4851
Mailing Address - Fax:828-252-1969
Practice Address - Street 1:60 LIVINGSTON ST
Practice Address - Street 2:STE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-253-4851
Practice Address - Fax:828-252-1969
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC24273207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110094714OtherMEDICARE METRAHEALTH
8959335OtherCAROLINA ACCESS
NC8959335Medicaid
59335OtherBCBS
0470534OtherUHC
01760OtherCOMMERCIAL PRIVATE PAY
561565803OtherCIGNA HEALTHCARE OF NC
C85573Medicare UPIN
208897CMedicare ID - Type Unspecified