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NPI Code Detail

MEDICARE: DR. REBECCA ANN MILLER D.C.

MEDICARE: DR. REBECCA ANN MILLER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4669NC

General Provider Information

NPI Number : 1366999476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA ANN MILLER D.C.
Provider Business Mailing Address
First Line : 13201 CROOKED PINE CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-5036
Country : US
Telephone Number : 989-560-1952
Fax Number :
Provider Business Practice Location Address
First Line : 10220 COULOAK DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-7678
Country : US
Telephone Number : 704-392-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 09/07/2016

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