Individual
NICHOLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
717 S TORRENCE ST, CHARLOTTE, NC 28204-2927
(704) 334-8682
Mailing address
PO BOX 844572, BOSTON, MA 02284-4572
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
135.000956
IL
213E00000X
Podiatrist
Primary
741
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
741
NC
Other
Enumeration date
04/03/2017
Last updated
07/22/2020
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