Individual
EDWARD J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HOSPITAL AVE, SUITE 3, JEFFERSON, NC 28640-9244
(336) 846-7433
(336) 846-7878
Mailing address
PO BOX 369, JEFFERSON, NC 28640-0369
(336) 846-7433
(336) 846-7878
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
73501
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173A
BCBS
NC
05
—
8958904
—
NC
Enumeration date
07/11/2006
Last updated
07/08/2007
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