Individual
DR. MICHAEL JOHN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 491-1760
(910) 491-1764
Mailing address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 491-1760
(910) 491-1764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32015
NC
207RC0000X
Cardiovascular Disease Physician
32015
NC
207RI0011X
Interventional Cardiology Physician
Primary
32015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59111
BCBS NC
NC
01
—
60045022
RAILROAD MEDICARE
NC
05
—
8959111
—
NC
Enumeration date
08/31/2005
Last updated
09/01/2022
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