Individual
CHARLES NATHAN MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1699 STADIUM BLVD, SUITE H, JONESBORO, AR 72401-5442
(870) 336-0021
Mailing address
768 COUNTY ROAD 7592, JONESBORO, AR 72401-7777
(870) 974-3875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AR 1766
AR
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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