Organization
KERNODLE CLINIC, INC-ELON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F MILLER MD (PRESIDENT)
(336) 538-1234
Entity
Organization
Contact information
Practice address
908 S WILLIAMSON AVE, ELON, NC 27244-9280
(336) 538-2314
(336) 538-2390
Mailing address
PO BOX 1717, BURLINGTON, NC 27216-1717
(336) 538-1234
(336) 538-2390
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
03/25/2013
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