Individual
DR. JEFFREY DOUGLAS MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1340 HAL GREER BLVD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-6387
(304) 526-6327
Mailing address
1340 HAL GREER BLVD, NEUROPHYSIOLOGY DEPT., HUNTINGTON, WV 25701-3800
(304) 526-2000
(304) 526-6326
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
23692
WV
2084N0400X
Neurology Physician
35.088429
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002673403
HIGHMARK
WV
05
—
2979675
—
OH
05
—
3810015398
—
WV
01
—
WV0690A
MEDICARE PTAN CHHI HOSPITAL BASED
WV
01
—
WV0690B
MEDICARE PTAN CHHI CLINICS
WV
Enumeration date
06/03/2007
Last updated
03/23/2012
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