Healthcare Provider Details

I. General information

NPI: 1871149831
Provider Name (Legal Business Name): MILES SAENGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 TERRELL PARK DR STE 100
SHERRILLS FORD NC
28673-9510
US

IV. Provider business mailing address

3900 TERRELL PARK DR STE 100
SHERRILLS FORD NC
28673-9510
US

V. Phone/Fax

Practice location:
  • Phone: 828-732-5450
  • Fax: 704-483-8217
Mailing address:
  • Phone: 828-732-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: