Miles, Jerrica
Miles, Jerrica is an individual health care provider with primary practice located at 1240 Eagles Landing Pkwy Ste 300 , Stockbridge GA 30281-5173. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Miles, Jerrica can be contacted via phone (770) 506-4350.Contact Information
Primary practice address
1240 Eagles Landing Pkwy Ste 300
Stockbridge GA 30281-5173
Phone: (770) 506-4350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Alabama | |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 8429 | Georgia |
Profile Details
| NPI number | 1063956431 |
|---|---|
| LBN Legal business name | Miles, Jerrica |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2016 |
| Last updated | Mar 5th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063956431 | NPPES |
| Other | 1063956431 | N/A |
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