Individual
DR. CHARLES MILLER
Active
Individual
DR. CHARLES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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