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Dr Millis Medical Wellness Center

NPI 1417548454ActiveOrganization· Family Medicine· Kennesaw, GA

Family Medicine in Kennesaw, Georgia, registered in NPPES in February 2021. The authorized official on file is Mildred Joann Santorufo, DO, Physician Owner.

Overview

NPI1417548454
StatusActive
Entity typeOrganization
NPI issuedFeb 2, 2021
Last updated in NPPESFeb 16, 2023
Certified by providerFeb 16, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Kennesaw

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