Healthcare Provider Details

I. General information

NPI: 1437441359
Provider Name (Legal Business Name): LAURA BETH MILLER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 ARENDELL ST CARTERET GENERAL HOSPITAL
MOREHEAD CITY NC
28557
US

IV. Provider business mailing address

5702 SOUND DR
EMERALD ISLE NC
28594-3412
US

V. Phone/Fax

Practice location:
  • Phone: 252-808-6000
  • Fax:
Mailing address:
  • Phone: 440-458-2006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2014-01827
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: