Dr Millis Medical Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR MILLIS MEDICAL WELLNESS CENTER

Practice address

1275 Shiloh Rd NW Ste 2051
Kennesaw, GA 30144-7199

Phone

(678) 737-4863

Fax

(706) 222-4016

NPI assigned

Feb 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mildred Joann Santorufo, DO

Title

Physician Owner

Phone

(678) 737-4863

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1417548454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2051",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447199",
            "telephone_number": "678-737-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2051",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447199",
            "telephone_number": "678-737-4863",
            "fax_number": "706-222-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MILLIS MEDICAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTORUFO",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "678-737-4863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Carline Dorleus, FNP
• Kate Dorrough, LPC
• Sonny Sandeep Singh Dosanjh, MD
• Douglas J. Deuchar, D.M.D., P.C.
• Paul Christopher Dozier, CRNA
• Dr. Bruce E. Reid and Associates, PC
• Dr. Michelle Oz LLC D/B/a Momentum Chiropractic
• Diana Lynn Draghi, RBT, BCBA
• Dream Body, Inc
• Michael Ray Drennan, LPC

• Family Medicine Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.