| Gary A. Milles, M.d., P.a. | |
|
8186 Lark Brown Rd Suite 203 Elkridge MD 21075-6433 | |
| (410) 799-8860 | |
| Not Available |
| Full Name | Gary A. Milles, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8186 Lark Brown Rd, Elkridge, Maryland |
| Authorized Official Name and Position | Gary A. Milles (MANAGING PHYSCIAN) |
| Authorized Official Contact | 4107998860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A. Milles, M.d., P.a. 8186 Lark Brown Rd Suite 203 Elkridge MD 21075-6433 Ph: (410) 799-8860 | Gary A. Milles, M.d., P.a. 8186 Lark Brown Rd Suite 203 Elkridge MD 21075-6433 Ph: (410) 799-8860 |
| NPI Number | 1487776662 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 0648216895 |
|---|---|
| Medicare Enrollment ID | O20050628001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487776662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Milles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922076405 PECOS PAC ID: 2264478411 Enrollment ID: I20050707000066 |
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