Individual
DR. PETER DANIEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
766 HARTNESS RD STE C, STATESVILLE, NC 28677-3485
(704) 954-8277
(704) 954-8199
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9500409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140007926
RAILROAD MEDICARE
NC
01
—
59151
BCBS OF NORTH CAROLINA
NC
05
—
8959151
—
NC
Enumeration date
06/01/2005
Last updated
12/08/2021
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