Provider Demographics
NPI:1629229182
Name:MILLS, ASHANTYE (CMA CPT)
Entity type:Individual
Prefix:
First Name:ASHANTYE
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:CMA CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 US HIGHWAY 41 N STE 1500
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-3943
Mailing Address - Country:US
Mailing Address - Phone:478-787-1005
Mailing Address - Fax:
Practice Address - Street 1:3421 US HIGHWAY 41 N STE 1500
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008-3943
Practice Address - Country:US
Practice Address - Phone:478-787-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator