MEDICARE: MILLER FAMILY HEALTH & WELLNESS, PLLC

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

General Provider Information

NPI Number	:	1982353926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLER FAMILY HEALTH & WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 8310
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24014-0310
Country	:	US
Telephone Number	:	540-345-3556
Fax Number	:	540-342-2193

Provider Business Practice Location Address
First Line	:	12699 LEE HWY
Second Line	:
City	:	WASHINGTON
State	:	VA
Zip	:	22747-1931
Country	:	US
Telephone Number	:	540-987-5068
Fax Number	:	540-987-5070

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID BROOKE MILLER
Credential	:	MD
Telephone Number	:	540-345-3556

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	03/18/2022

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