Individual
DR. CHARLES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
935 STATE FARM RD, BOONE, NC 28607-4948
(828) 264-5150
(828) 265-3611
Mailing address
935 STATE FARM RD, BOONE, NC 28607-4948
(828) 264-5150
(828) 265-3611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31739
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158301B
PSC MEDICARE PROVIDER NUM
NC
01
—
58881
BLUE CROSS
NC
05
—
8958881
—
NC
Enumeration date
09/22/2006
Last updated
10/02/2007
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