Individual
GABRIELLE KRISTINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 MEDICAL PARK RD, MOORESVILLE, NC 28117-8540
(704) 664-9506
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10239
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/02/2020
Last updated
06/08/2022
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