Individual
DR. GARY STEPHEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6801 NORTHLAKE MALL DRIVE, NORTHLAKE MALL #253, CHARLOTTE, NC 28216-0711
(704) 509-4490
(704) 509-4491
Mailing address
6801 NORTHLAKE MALL DR, NORTHLAKE MALL #253, CHARLOTTE, NC 28216-0711
(704) 509-4490
(704) 509-4491
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1307
NC
152W00000X
Optometrist
1521
VA
Other
Enumeration date
06/30/2006
Last updated
03/06/2008
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