| Carolyn Victoria Milles, RDN, LD | |
|
510 Main St, Gorham, ME 04038-1339 | |
| (207) 370-7787 | |
| (844) 231-8920 |
| Full Name | Carolyn Victoria Milles |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 510 Main St, Gorham, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194245209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | NU4313 (Massachusetts) | Secondary |
| 133V00000X | Dietitian, Registered | DI1348 (Maine) | Primary |
| Provider Name | Cvwellbeing |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972151553 PECOS PAC ID: 4880090224 Enrollment ID: O20210909002033 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Victoria Milles, RDN, LD 83 Qualey Rd, Gray, ME 04039-7707 Ph: (508) 965-0875 | Carolyn Victoria Milles, RDN, LD 510 Main St, Gorham, ME 04038-1339 Ph: (207) 370-7787 |
Lauren Hebert, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 510 Main St, Gorham, ME 04038 Phone: 207-370-7787 | |
Amanda Robbins, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 510 Main St, Gorham, ME 04038 Phone: 207-370-7787 | |
Alison Swiggard, RD Dietitian Medicare: Medicare Enrolled Practice Location: 510 Main St, Gorham, ME 04038 Phone: 207-370-7787 | |
Cvwellbeing Dietitian Medicare: Medicare Enrolled Practice Location: 510 Main St, Gorham, ME 04038 Phone: 207-370-7787 |