Individual
MR. TIMOTHY CHARLES MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 S PRICE ST, STE 1, KINGWOOD, WV 26537
(304) 329-3300
(304) 329-3301
Mailing address
301 S PRICE ST, STE 1, KINGWOOD, WV 26537
(304) 329-3300
(304) 329-3301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12569
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720432
BCBS
—
01
—
020003912
RR MEDICARE
—
01
—
1310927
UMWA
—
01
—
241412
MAMSI
—
Enumeration date
06/16/2006
Last updated
08/04/2008
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