NPIMap

Frank Heath Mills, A.T.C.

Individual provider Active NPI Physical Therapy Assistant · Gray, GA

NPI 1679790844 · NPPES record last updated Oct 20, 2022

Key facts

NPI
1679790844
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA003371 (GA)
Practice address
260 W Clinton St Ste 2
Gray, GA 31032-5464
Phone
(478) 256-3111
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA003371GAMDPhysical Therapy Assistant
AT 000475GAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT 000475 GA
Physical Therapy Assistant 225200000X PTA003371 GA Yes

Addresses

Primary practice location

260 W Clinton St Ste 2
Gray, GA 31032-5464

Mailing address

260 W Clinton St Ste 2
Gray, GA 31032-5464
Phone (478) 256-3111

Other practice location 1

4660 Riverside Park Blvd
Macon, GA 31210-1395
Phone (478) 474-0240

Other names

  • Frank Heath Mills Professional name

Other providers in Gray, GA

All providers in Gray, GA · Physical Therapy Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.