Individual
PRESTON ROY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3813
(336) 716-5537
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9500410
NC
2086S0102X
Surgical Critical Care Physician
9500410
NC
2086S0127X
Trauma Surgery Physician
9500410
NC
Other
Enumeration date
12/16/2005
Last updated
02/08/2017
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