Healthcare Provider Details

I. General information

NPI: 1265577241
Provider Name (Legal Business Name): BURLINGTON ORTHOPAEDIC AND HAND SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 03/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 HUFFMAN MILL RD SUITE 1300
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

1236 HUFFMAN MILL RD SUITE 1300
BURLINGTON NC
27215-8700
US

V. Phone/Fax

Practice location:
  • Phone: 336-584-5544
  • Fax: 336-584-4438
Mailing address:
  • Phone: 336-584-5544
  • Fax: 336-584-4438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number39920
License Number StateNC

VIII. Authorized Official

Name: DR. HOWARD E MILLER
Title or Position: DOCTOR PRESIDENT
Credential: M.D.
Phone: 336-584-5544