Organization
MILLENNIUM PHYSICIAN GROUP OF NC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HALTIGAN (DIRECTOR OF REVENUE CYCLE)
(877) 856-3774
Entity
Organization
Contact information
Practice address
4205 BEN FRANKLIN BLVD, DURHAM, NC 27704-2143
(919) 477-6900
(919) 620-0974
Mailing address
2675 WINKLER AVE STE 200, FORT MYERS, FL 33901-9328
(877) 856-3774
(395) 992-6122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
09/22/2025
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