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Individual

DR. JARED WESLEY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1144 N ROAD ST STE 200, ELIZABETH CITY, NC 27909-3473
(252) 384-2360
(252) 384-2359
Mailing address
1144 N ROAD ST STE 200, ELIZABETH CITY, NC 27909-3473
(252) 384-2360
(252) 384-2359

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203100
VA
207Q00000X
Family Medicine Physician
2013-00283
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2013-00283
NC

Other

Enumeration date
06/13/2010
Last updated
12/06/2023
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