Individual
DR. MATTHEW CHARLES MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, PULMONARY AND CRITICAL CARE MEDICINE, WINSTON SALEM, NC 27157-0001
(336) 716-4649
(336) 716-7277
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-01098
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2006-01098
NC
207RP1001X
Pulmonary Disease Physician
Primary
2006-01098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316954522
—
VA
05
—
3810012289
—
WV
05
—
5909349
—
NC
05
—
Q0109N
—
SC
Enumeration date
08/01/2006
Last updated
09/21/2012
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