Individual
ANTONIUS ARTHUR MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
200001207
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1263U
BCBS
NC
05
—
2005133000
—
WV
01
—
36488
PARTNERS
NC
01
—
4106797
AETNA
—
05
—
5854270
—
VA
05
—
891263U
—
NC
01
—
99200
MEDCOST
NC
05
—
Q0120C
—
SC
Enumeration date
11/29/2005
Last updated
10/27/2011
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