Individual
DR. RAYMUNDO V MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-2207
(252) 744-6625
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9901264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240J
BCBS NC
NC
01
—
250011157
RAILROAD MEDICARE
NC
05
—
891240J
—
NC
Enumeration date
08/31/2005
Last updated
03/13/2024
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