Individual
MR. ROBERT SCOTT MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4407 MACCORKLE AVE SE, CHARLESTON, WV 25304-2505
(304) 720-3619
Mailing address
4407 MACCORKLE AVE SE, CHARLESTON, WV 25304-2505
(304) 720-3619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01307
WV
Other
Enumeration date
02/20/2008
Last updated
12/11/2008
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