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Individual

CHRISTOPHER MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4479
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2011

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-00776
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2008-00776
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5921051
NC
Enumeration date
05/03/2007
Last updated
06/10/2014
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