MEDICARE: DAVID C. 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
1	207Q00000X	Family Medicine Physician	96-00088	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1932197795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C. MILLER MD

Provider Business Mailing Address
First Line	:	5608 YORKE ST NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-5338
Country	:	US
Telephone Number	:	704-795-4778
Fax Number	:

Provider Business Practice Location Address
First Line	:	4315 PHYSICIANS BLVD
Second Line	:	SUITE 200
City	:	HARRISBURG
State	:	NC
Zip	:	28075-7430
Country	:	US
Telephone Number	:	704-996-3737
Fax Number	:	704-364-4422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	09/06/2011

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Directions to “ DAVID C. MILLER MD” Practice Location

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