Provider Demographics
NPI:1609681816
Name:MILLS, BRADLEIGH WINTER
Entity type:Individual
Prefix:
First Name:BRADLEIGH
Middle Name:WINTER
Last Name:MILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 ROBIN HELTON DR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-5380
Mailing Address - Country:US
Mailing Address - Phone:864-357-8258
Mailing Address - Fax:
Practice Address - Street 1:352 ROBIN HELTON DR
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-5380
Practice Address - Country:US
Practice Address - Phone:864-357-8258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant