Miller, John-Mark Mark
Miller, John-Mark Mark is an individual health care provider with primary practice located at 516 Beaman St , Clinton NC 28328-2602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, John-Mark Mark can be contacted via phone (910) 590-0048.Contact Information
Primary practice address
516 Beaman St
Clinton NC 28328-2602
Phone: (910) 590-0048
Fax: (910) 596-6106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2015-02037 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 056857 | Georgia |
Profile Details
| NPI number | 1891716379 |
|---|---|
| LBN Legal business name | Miller, John-Mark Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Dec 18th, 2020 - about 4 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 | 1891716379 | NPPES |
| Georgia | MEDICAID | 082534740A |
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