person
Edward J Miller, MD
General Practice Physician in Jefferson, North Carolina
NPI 1538194410

Edward J Miller is a General Practice Physician based in Jefferson, NC. Edward J Miller practices in Jefferson, NC and has the professional credentials of MD. The NPI Number for Edward J Miller is 1538194410 and holds a License No. 73501 (North Carolina).

The current practice location address for Edward J Miller is 200 Hospital Ave, Jefferson, NC and can be reached out via phone at 336-846-7433 and via fax at 336-846-7878.

Location: 200 Hospital Ave, Jefferson, NC, 28640-0369
person
Provider Profile Details
NPI Number
1538194410
Provider Name
Edward J Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Hospital Ave, Jefferson, NC, 28640-0369
Phone Number
336-846-7433
Fax Number
336-846-7878
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0173A 01 NC BCBS
8958904 05 NC
institution
Provider Business Practice Location Address Details
Address
200 Hospital Ave
City
State
Zip
28640-9244
Phone Number
336-846-7433
Fax Number
336-846-7878
person
Provider Business Mailing Address Details
Address
200 Hospital Ave
City
State
Zip
28640-9244
Phone Number
336-846-7433
Fax Number
336-846-7878
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
73501 (North Carolina)
Definition
Definition to come...
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