Individual
DR. EDMUND E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 STATE FARM RD, SUITE A, BOONE, NC 28607-4738
(828) 264-0042
(828) 264-8612
Mailing address
610 STATE FARM RD, SUITE A, BOONE, NC 28607-4738
(828) 264-0042
(828) 264-8612
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12160
PARTNERS
—
01
—
2074256
FIRST HEALTH
—
01
—
3058058
BCBS TN
TN
05
—
4172879
—
TN
01
—
53862
MEDCOST
NC
01
—
58907
BCBS NC
NC
05
—
8958907
—
NC
Enumeration date
07/28/2005
Last updated
05/20/2008
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