Individual
DR. WILLIAM SMITH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S PRESTON ST STE A, RANSON, WV 25438-1675
(304) 725-6514
(304) 725-3781
Mailing address
201 S PRESTON ST STE A, RANSON, WV 25438-1675
(304) 725-6514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12485
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721157
MTN STATE BC/BS
WV
05
—
0056320000
—
WV
01
—
0489491
PTAN
WV
01
—
410113203
RR MEDICARE
—
01
—
822511
MAMSI IDENTIFICATION
WV
Enumeration date
03/16/2006
Last updated
06/24/2011
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