Individual
ABIGAIL MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Mailing address
712 CLARK CT, WILMORE, KY 40390-1009
(608) 219-7099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
08/18/2022
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