NPI 1093138307

Jeremy S Miller, LATATC

Practitioner Athletic Trainer Winston Salem, NC

Practice location

Address: 3507 Midway School Rd, Winston Salem, NC 27107-8741
Phone: (336) 474-8280
Fax: (336) 474-8285

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1903 (NC)

Other Specialist/Technologist providers in North Carolina →

Registry record

NPI: 1093138307
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2014
Record last updated: 12 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.