Individual
BOBBY LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 3500, HUNTINGTON, WV 25701-3656
(304) 691-1300
(304) 691-1375
Mailing address
1600 MEDICAL CENTER DR, SUITE 3500, HUNTINGTON, WV 25701-3656
(304) 691-1300
(304) 691-1375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19640
WV
208000000X
Pediatrics Physician
19640
WV
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
19640
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803828000
—
WV
05
—
2230437
—
OH
05
—
64030083
—
KY
Enumeration date
04/14/2006
Last updated
11/30/2021
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