Individual
STEPHANIE ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC-L
Contact information
Practice address
1440 CARMEL RD, CHARLOTTE, NC 28226-5012
(704) 943-4775
(704) 943-4795
Mailing address
9154 LANIGAN ST, CHARLOTTE, NC 28277-0299
(704) 641-8679
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0100
NC
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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