| Organization Name: | MILLS MEDICAL PRACTICES, LLC |
| NPI Number: | 1477701969 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUTH SCHWARTZ (ASSISTANT SECRETARY) |
| Mailing Address: | 9293 State Route 43 Ste B Streetsboro |
| State: | OH US |
| Postal Code: | 442415374 |
| Phone Number: | 3306261113 |
| Fax Number: | 3306261133 |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 35083334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |