Individual
MATTHEW CAMERON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, ATC
Contact information
Practice address
7715 WATERFORD LAKES DR, APT 3036, CHARLOTTE, NC 28210-7414
(727) 278-9971
Mailing address
7715 WATERFORD LAKES DR, APT 3036, CHARLOTTE, NC 28210-7414
(727) 278-9971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019
NC
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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