Provider Demographics
NPI:1184396178
Name:MILLER, CHRISTINA LEE (DMS, PA-C)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:DMS, PA-C
Other - Prefix:
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Mailing Address - Street 1:34 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-6011
Mailing Address - Country:US
Mailing Address - Phone:765-309-2872
Mailing Address - Fax:
Practice Address - Street 1:1 VA CTR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6795
Practice Address - Country:US
Practice Address - Phone:207-623-8411
Practice Address - Fax:207-621-4882
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2023-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN10003389A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant