Individual
DR. JOHN-MARK MARK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
516 BEAMAN ST, CLINTON, NC 28328-2602
(910) 590-0048
(910) 596-6106
Mailing address
607 BEAMAN ST, CLINTON, NC 28328
(910) 590-0048
(910) 596-6106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
056857
GA
207Q00000X
Family Medicine Physician
Primary
2015-02037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082534740A
—
GA
Enumeration date
07/21/2006
Last updated
12/18/2020
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