Individual
MR. ISAAC HENRY MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 537-0134
(252) 537-6515
Mailing address
270 SMITH CHURCH ROAD, ROANOKE RAPIDS, NC 27870-4914
(252) 537-0134
(252) 537-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32539
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028182
BCBSVA
VA
01
—
0455334
UNITED HEALTHCARE
—
01
—
110074906
RAILROAD MEDICARE PALMETT
—
01
—
1435956HALI
UNITED MINE WORKERS
—
01
—
18619
CAPITOL BC PENN
—
01
—
203849
DIVISION OF COAL MINERS
—
01
—
47699
MEDCOST
—
01
—
59024
BCBSNC
NC
01
—
6068995
VIRGINIA MEDICAID
—
05
—
8959024
—
NC
Enumeration date
11/13/2006
Last updated
06/24/2019
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