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Organization

DR. GARY S. MILLER & ASSOCIATES, OPTOMETRISTS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY STEPHEN MILLER O.D. (PRESIDENT)
(704) 509-4490
Entity
Organization

Contact information

Practice address
6801 NORTHLAKE MALL DR, NORTHLAKE MALL #253, CHARLOTTE, NC 28216-0711
(704) 509-4490
(704) 509-4491
Mailing address
6801 NORTHLAKE MALL DR, NORTHLAKE MALL #253, CHARLOTTE, NC 28216-0711
(704) 509-4490
(704) 509-4491

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1307
NC

Other

Enumeration date
03/10/2008
Last updated
10/17/2008
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