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Octavia Miller
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1699402651

Octavia Miller is a Student in an Organized Health Care Education/Training Program based in Greenville, NC. Octavia Miller practices in Charlotte, NC. The NPI Number for Octavia Miller is 1699402651 and holds a License No. 13234 (North Carolina).

The current practice location address for Octavia Miller is 8956 J M Keynes Dr Ste 500, Charlotte, NC and can be reached out via phone at 980-890-7590.

Location: 8956 J M Keynes Dr Ste 500, Charlotte, NC, 27834-0211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699402651
Provider Name
Octavia Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
8956 J M Keynes Dr Ste 500, Charlotte, NC, 27834-0211
Phone Number
980-890-7590
Fax Number
Provider Enumeration Date
08/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8956 J M Keynes Dr Ste 500
City
Charlotte
State
North Carolina
Zip
28262-8626
Phone Number
980-890-7590
Fax Number
person
Provider Business Mailing Address Details
Address
8956 J M Keynes Dr Ste 500
City
Charlotte
State
North Carolina
Zip
28262-8626
Phone Number
980-890-7590
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13234 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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