Individual
JEREMY MIGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1 DOCTORS DR, ASHEVILLE, NC 28801-4608
(828) 254-3392
(828) 254-4380
Mailing address
1 DOCTORS DR, ASHEVILLE, NC 28801-4608
(828) 254-3392
(828) 254-4380
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO005502
NC
224P00000X
Prosthetist
Primary
CPO03757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285720482
—
NC
Enumeration date
04/21/2015
Last updated
04/29/2016
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