Individual
JUSTIN ALAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5115 OLEANDER DR RM 8549, WILMINGTON, NC 28403-7018
(910) 362-1011
(910) 362-1012
Mailing address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
(910) 362-1012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
306418
LA
207RG0100X
Gastroenterology Physician
Primary
255763
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00587042
—
NC
Enumeration date
05/30/2013
Last updated
05/26/2021
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