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NPI Code Detail

MEDICARE: BILLY R MILLER

MEDICARE:   BILLY R MILLER
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
1225200000XPhysical Therapy Assistant2157NC

General Provider Information

NPI Number : 1578682126
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILLY R MILLER
Provider Business Mailing Address
First Line : 2313 FRANKLIN DR
Second Line :
City : WINTERVILLE
State : NC
Zip : 28590-9179
Country : US
Telephone Number : 252-830-9156
Fax Number :
Provider Business Practice Location Address
First Line : 1375 COWELL FARM RD
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3495
Country : US
Telephone Number : 252-975-4395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ BILLY R MILLER ” Practice Location

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