Provider Demographics
NPI:1164656922
Name:MILLS, SARAH JEAN (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:MILLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4413 DENSMORE PLACE
Mailing Address - Street 2:SARAH MILLS
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612
Mailing Address - Country:US
Mailing Address - Phone:919-724-6539
Mailing Address - Fax:919-966-3049
Practice Address - Street 1:4413 DENSMORE PLACE
Practice Address - Street 2:SARAH MILLS
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612
Practice Address - Country:US
Practice Address - Phone:919-724-6539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-00522207P00000X
FLME142156207P00000X
GA79767207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL2912OtherFL MEDICARE