Basic Information
| Provider Information | |||||||||
| NPI: | 1942366224 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MILLIKEN | ||||||||
| FirstName: | CHARLES | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6900 GEORGIA AVE. NW | ||||||||
| Address2: | WRAMC, BLDG 2, ROOM 2J38 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027827250 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6900 GEORGIA AVE. NW | ||||||||
| Address2: | WRAMC, BLDG 6, DEPARTMENT OF PSYCHIATRY | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027826275 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0805X | 0101041809 | VA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Geriatric Psychiatry |
No ID Information.