Organization
MOUNTAIN PARK FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MILLER FNP (PROVIDER/ORGANIZER)
(828) 631-3181
Entity
Organization
Contact information
Practice address
90 E MAIN ST STE 2, SYLVA, NC 28779-3030
(828) 631-3181
(828) 631-6113
Mailing address
90 E MAIN ST STE 2, SYLVA, NC 28779-3030
(828) 631-3181
(828) 631-6113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215377908
—
NC
Enumeration date
09/18/2020
Last updated
09/18/2020
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