Individual
CAROLINE STEPHENS MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC, LAT
Contact information
Practice address
1305 JENNINGS MILL RD BLDG 300-110, WATKINSVILLE, GA 30677-7238
(706) 613-5880
Mailing address
403 STADIUM DR # D107, TALLAHASSEE, FL 32304-4247
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
03/20/2025
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