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Individual

JON KIMBERLY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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