Individual
MR. JEREMY S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3507 MIDWAY SCHOOL RD, WINSTON SALEM, NC 27107-8741
(336) 474-8280
(336) 474-8285
Mailing address
3507 MIDWAY SCHOOL RD, WINSTON SALEM, NC 27107-8741
(336) 474-8280
(336) 474-8285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1903
NC
Other
Enumeration date
01/23/2014
Last updated
03/12/2018
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