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Individual

SONYA MITCHELL MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3353 N GLOSTER ST, TUPELO, MS 38804-9735
(662) 844-3555
(662) 840-5614
Mailing address
3353 N GLOSTER ST, TUPELO, MS 38804-9735
(662) 844-3555
(662) 840-5614

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21634
MS
207W00000X
Ophthalmology Physician
ME 107256
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03634394
MS
Enumeration date
07/18/2007
Last updated
12/19/2011
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