Individual
MR. DAVID CAMERON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10650 SW 46TH ST, JASPER, FL 32052-3732
(386) 792-5151
Mailing address
4912 PIKES POND RD, LAKE PARK, GA 31636-3262
(229) 834-2322
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
45654
CA
Other
Enumeration date
08/15/2009
Last updated
08/15/2009
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