Individual
DR. MILTON JESUS SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
14341 NEW FALLS OF NEUSE RD., SUITE 122, RA;EIGH, NC 27614-8292
(919) 570-7010
(919) 570-7020
Mailing address
14341 NEW FALLS OF NEUSE, SUITE 122, RALEIGH, NC 27614-8292
(919) 570-7010
(919) 570-7020
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130T6
—
NC
Enumeration date
05/23/2006
Last updated
07/08/2007
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