Organization
KATINA BYRD MILES, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA BRYD MILES M.D. (OWNER)
(410) 451-0500
Entity
Organization
Contact information
Practice address
2401 BRANDERMILL BLVD, SUITE 240, GAMBRILLS, MD 21054
(410) 451-0500
Mailing address
2401 BRANDERMILL BLVD, SUITE 240, GAMBRILLS, MD 21054-1690
(410) 451-0500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0057437
MD
Other
Enumeration date
07/31/2014
Last updated
10/15/2014
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