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Individual

MS. LAURA SOUTHERN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
90 E MAIN ST STE 2, SYLVA, NC 28779-3030
(828) 631-3181
(828) 631-6113
Mailing address
PO BOX 1039, SYLVA, NC 28779-1039
(828) 631-3181
(828) 631-6113

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009155
NC
363LP2300X
Primary Care Nurse Practitioner
RN182120
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN182120
GEORGIA LICENSE #
GA
Enumeration date
06/27/2013
Last updated
01/16/2020
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