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NPI Code Detail

MEDICARE: MCKENZIE MAE MILLER AU.D.

MEDICARE:   MCKENZIE MAE MILLER  AU.D.
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
1231H00000XAudiologist30005151NC

General Provider Information

NPI Number : 1235060096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENZIE MAE MILLER AU.D.
Provider Business Mailing Address
First Line : 3110 WELLONS BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5247
Country : US
Telephone Number : 252-638-2515
Fax Number :
Provider Business Practice Location Address
First Line : 3110 WELLONS BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5247
Country : US
Telephone Number : 252-638-2515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ MCKENZIE MAE MILLER AU.D.” Practice Location

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