Individual
DYREK EVERETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 DUPLIN STREET, KENANSVILLE, NC 28349-2834
(910) 275-0027
(910) 296-0214
Mailing address
PO BOX 490, KENANSVILLE, NC 28349
(910) 275-0027
(910) 296-0214
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200300667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1334X
BCBS OF NORTH CAROLINA
NC
05
—
891334X
—
NC
Enumeration date
10/03/2006
Last updated
01/14/2022
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