Individual
MILAN R GENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1707 MEDICAL PARK DR W, SUITE 1, WILSON, NC 27893-2788
(252) 291-7008
(252) 291-1281
Mailing address
1707 MEDICAL PK DR W, SUITE 1, WILSON, NC 27893-2788
(252) 291-7008
(252) 291-1281
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
2005-00746
NC
207W00000X
Ophthalmology Physician
Primary
2005-00746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902056
—
NC
Enumeration date
04/05/2006
Last updated
05/24/2022
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