Individual
DR. THOMAS DAVIS MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-8780
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
2010-00914
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
2010-00914
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497804603
—
NC
Enumeration date
01/09/2007
Last updated
04/06/2021
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