MEDICARE: MILLER & OAKLEY-WHITING FAMILY WELLNESS LLC

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
1	261QP2300X	Primary Care Clinic/Center	0101041320	VA

General Provider Information

NPI Number	:	1467683649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLER & OAKLEY-WHITING FAMILY WELLNESS LLC

Provider Business Mailing Address
First Line	:	PO BOX 316
Second Line	:	6491 MAIN STREET
City	:	THE PLAINS
State	:	VA
Zip	:	20198-9998
Country	:	US
Telephone Number	:	540-253-9701
Fax Number	:	540-253-9704

Provider Business Practice Location Address
First Line	:	6491 MAIN ST
Second Line	:	1ST FLOOR
City	:	THE PLAINS
State	:	VA
Zip	:	20198-9998
Country	:	US
Telephone Number	:	540-253-9701
Fax Number	:	540-253-9704

Authorized Official
Title or Position	:	CO-MANAGING MEMBER
Name	:	ANN H MILLER
Credential	:	NP
Telephone Number	:	540-253-9701

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	12/04/2009

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