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1578933826
EMILY SELF MILLWOOD
GASTONIA, NC
NPI
1578933826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-05986)
Enumeration Date
2015-09-30
Last Update Date
2022-07-08
Business Address
EMILY SELF MILLWOOD PA-C
2555 COURT DR STE 200
GASTONIA, NC 28054-2178
Phone number: 704-867-2141
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Mailing Address
EMILY SELF MILLWOOD PA-C
PO BOX 744786
ATLANTA, GA 30374-4786
Phone number: 704-834-2450
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