Individual
MRS. CAMME BECKERDITE MILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1705 GARDNER DR, WILMINGTON, NC 28405-8873
(910) 343-5300
Mailing address
1531 RAYNOR PL NE, LELAND, NC 28451-4082
(910) 520-4223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47986
NC
Other
Enumeration date
04/06/2014
Last updated
04/06/2014
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