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NPI Code Detail

MEDICARE: DR. GARY PRICE MILLER MD

MEDICARE:  DR. GARY PRICE MILLER  MD
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
1207RC0000XCardiovascular Disease Physician13684TN
2207RC0000XCardiovascular Disease Physician38394NC
32086S0129XVascular Surgery Physician0101028975VA
4207RC0000XCardiovascular Disease Physician0101028975VA
5207RI0011XInterventional Cardiology Physician0101028975VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2099349OTHERVAANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447340112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY PRICE MILLER MD
Provider Business Mailing Address
First Line : 158 EXECUTIVE DRIVE
Second Line :
City : DANVILLE
State : VA
Zip : 24541-4100
Country : US
Telephone Number : 434-791-1088
Fax Number : 434-799-8525
Provider Business Practice Location Address
First Line : 158 EXECUTIVE DRIVE
Second Line :
City : DANVILLE
State : VA
Zip : 24541-4100
Country : US
Telephone Number : 434-791-1088
Fax Number : 434-799-8525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 11/11/2021

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Directions to “ DR. GARY PRICE MILLER MD” Practice Location

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