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PETER MULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
244 SMITH CHURCH RD, BUILDING 5, ROANOKE RAPIDS, NC 27870-4956
(252) 535-2350
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
(904) 446-3013

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39203
NC
2086S0129X
Vascular Surgery Physician
39203
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1143058
CIGNA HEALTHCARE
NC
01
20024554
RAILROAD MEDICARE
NC
01
41517
MEDCOST
NC
01
61326
BCBSNC
NC
05
8961326
NC
Enumeration date
09/07/2005
Last updated
01/06/2015
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