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NPI Code Detail

MEDICARE: RACHEL NICOLE MILLER PA-C

MEDICARE: RACHEL NICOLE MILLER PA-C
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
1363A00000XPhysician Assistant2205-023WI
2363AS0400XSurgical Physician AssistantPA07301TX
3363A00000XPhysician Assistant0010-07814NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2858N38OTHERTXBCBS

General Provider Information

NPI Number : 1700074366
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL NICOLE MILLER PA-C
Provider Business Mailing Address
First Line : 107 WEEKS DR
Second Line :
City : ROXBORO
State : NC
Zip : 27573-3929
Country : US
Telephone Number : 336-598-5480
Fax Number :
Provider Business Practice Location Address
First Line : 107 WEEKS DR
Second Line :
City : ROXBORO
State : NC
Zip : 27573-3929
Country : US
Telephone Number : 336-598-5480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 03/19/2018

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Directions to “ RACHEL NICOLE MILLER PA-C” Practice Location

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