Individual
FREDERICK MYLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 NASH ST S, WILSON, NC 27893-3885
(252) 206-1112
(252) 206-1112
Mailing address
PO BOX 4696, WILSON, NC 27893-0696
(252) 206-1112
(252) 206-1112
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
07/13/2021
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