Individual
MRS. CARRIE D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-A
Contact information
Practice address
2030 COLONIAL AVE SW, ROANOKE, VA 24015-3204
(540) 343-0165
(540) 345-4664
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001156
VA
237600000X
Audiologist-Hearing Aid Fitter
2101001383
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007926527
AETNA
VA
05
—
009105727
—
VA
05
—
010197554
—
VA
01
—
240052
MAMSI
VA
01
—
297809
MAMSI
VA
01
—
384444
ANTHEM
VA
Enumeration date
10/27/2006
Last updated
04/27/2023
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