Individual
FRED H. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 INDIA HOOK ROAD, SUITE B, ROCK HILL, SC 29732-3271
(803) 328-0181
(803) 328-0553
Mailing address
PO BOX 60099, CHARLOTTE, NC 28260-0099
(803) 328-0181
(803) 328-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18157
SC
207R00000X
Internal Medicine Physician
35990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110136888
RR MEDICARE
—
05
—
181574
—
SC
01
—
58936
BCBS-NC
NC
Enumeration date
07/20/2006
Last updated
06/03/2013
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