Individual
BECKY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4525 CAMERON VALLEY PKWY, STE 1500, CHARLOTTE, NC 28211-4369
(704) 512-6240
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07214
NC
Other
Enumeration date
07/26/2006
Last updated
03/02/2020
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