Individual
DR. ROGER A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1495 RYMCO DR, SUITE 107, WINSTON SALEM, NC 27103-2947
(336) 659-0655
Mailing address
PO BOX 25081, WINSTON SALEM, NC 27114-5081
(336) 659-0655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1717
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08629
BCBS NUMBER
NC
05
—
8908629
—
NC
01
—
8981
PARTNERS INSURANCE NUMBER
NC
Enumeration date
05/24/2007
Last updated
07/09/2007
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