person
Mr. Clarence Thomas Millikin, PA-C
Surgical Physician Assistant in Atlanta, Georgia
NPI 1609883016

Clarence Thomas Millikin is a Surgical Physician Assistant based in Mcdonough, GA and is specialized in Surgical. Clarence Thomas Millikin practices in Atlanta, GA and has the professional credentials of PA-C. The NPI Number for Clarence Thomas Millikin is 1609883016 and holds a License No. 002525 (Georgia).

The current practice location address for Clarence Thomas Millikin is 3200 Downwood Cir Nw, Atlanta, GA and can be reached out via phone at 404-352-4500 and via fax at 404-350-0722. You can also correspond with Clarence Thomas Millikin through the mailing address at 111 ROYAL BURGESS WAY, MCDONOUGH, GA - 30253-4283 (mailing address contact number: 404-352-4500).

Location: 3200 Downwood Cir Nw, Atlanta, GA, 30253-4283
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Provider Profile Details
NPI Number
1609883016
Provider Name
Clarence Thomas Millikin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3200 Downwood Cir Nw, Atlanta, GA, 30253-4283
Phone Number
404-352-4500
Fax Number
404-350-0722
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002525 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
3200 Downwood Cir Nw
City
State
Zip
30327-1610
Phone Number
404-352-4500
Fax Number
404-350-0722
person
Provider Business Mailing Address Details
Address
3200 Downwood Cir Nw
City
State
Zip
30327-1610
Phone Number
404-352-4500
Fax Number
404-350-0722
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002525 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
002525 (Georgia)
Definition
Definition to come...
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