Individual
DR. DEREK MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E SUNFLOWER RD, SUITE 103, CLEVELAND, MS 38732-2830
(662) 846-9990
(662) 846-5444
Mailing address
907 E SUNFLOWER RD, SUITE 103, CLEVELAND, MS 38732-2830
(662) 846-9990
(662) 846-5444
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17441
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126078
—
MS
05
—
09016081
—
MS
Enumeration date
07/06/2006
Last updated
07/09/2007
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