Organization
MILES SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R MILES MD (OWNER)
(910) 794-1717
Entity
Organization
Contact information
Practice address
1717 SHIPYARD BLVD, SUITE 300, WILMINGTON, NC 28403
(910) 794-1717
(910) 794-1552
Mailing address
1717 SHIPYARD BLVD, SUITE 300, WILMINGTON, NC 28403
(910) 794-1717
(910) 794-1552
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02819
BCBS
NC
05
—
8902819
—
NC
Enumeration date
08/30/2006
Last updated
08/22/2020
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