Individual
JON KIMBERLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
38395
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
38395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0928886
UHC
—
01
—
200027636
RR MEDICARE
—
01
—
59023
BCBS
NC
05
—
8959023
—
NC
Enumeration date
05/12/2006
Last updated
06/27/2016
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