Individual
MR. CHARLES CLINTON MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
948 MAIN ST, FOLLANSBEE, WV 26037
(304) 527-3410
(304) 527-4278
Mailing address
948 MAIN ST, FOLLANSBEE, WV 26037
(304) 527-3410
(304) 527-4278
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275539520
—
WV
05
—
1326266735
—
WV
Enumeration date
03/17/2022
Last updated
03/17/2022
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