Organization
MILLER FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAY MILLER MD (OWNER)
(704) 872-0174
Entity
Organization
Contact information
Practice address
513 BROOKDALE DRIVE, STATESVILLE, NC 28677
(704) 872-0174
(704) 872-0176
Mailing address
513 BROOKDALE DRIVE, STATESVILLE, NC 28677
(704) 872-0174
(704) 872-0176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
117782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59036
BCBS
NC
05
—
8959036
—
NC
Enumeration date
09/16/2006
Last updated
04/20/2008
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