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Individual

CECILY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
610 W MORGAN ST APT 213, DURHAM, NC 27701-2175
(814) 853-6085
Mailing address
8001A WINCHESTER DR # 213-1, RALEIGH, NC 27612-1831
(814) 853-6085

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1198162
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1198162
NCCPA
PA
Enumeration date
09/06/2022
Last updated
09/06/2022
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