Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 32540 | NC |
NPI | 1003861279 |
---|---|
Provider Name | Joseph Keith Miller |
First Address | Charlotte, NC 28260-0447 |
Second Address | Thomasville, NC 27360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8959039 | (05) | NC |
C85555 | (02) |