Individual
LAURA SHELBY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
14358 WILLIAMSBURG DR, GULFPORT, MS 39503-3418
(337) 356-7031
Mailing address
14358 WILLIAMSBURG DR, GULFPORT, MS 39503-3418
(337) 356-7031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0761
MS
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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