Individual
MICHAEL SHANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 E 5TH ST, CHARLOTTE, NC 28204-2429
(980) 367-4363
(704) 384-1644
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 367-4363
(704) 316-2558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2012-00942
NC
208M00000X
Hospitalist Physician
2012-00942
NC
Other
Enumeration date
05/06/2008
Last updated
04/24/2024
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