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Individual

KATHERINE EDWARDS MILAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDO LICENSED DISPENS

Contact information

Practice address
145A OLD HWY 70 EAST, BLACK MOUNTAIN, NC 28711
(828) 669-5775
(828) 669-6024
Mailing address
145A OLD HWY 70 EAST, BLACK MOUNTAIN, NC 28711
(828) 669-5775
(828) 669-6024

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
836
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8802025
NC
Enumeration date
03/28/2007
Last updated
07/08/2007
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