Doctor Name: | EMILY S MILLER |
NPI Number: | 1063836161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 7955 |
Business Practice Address: | 2817 Reilly St Fort Bragg, NC - 283107324 |
Business Phone Number: | 9109078922 |
Business Fax Number: | 9109076069 |
Mailing Address: | 2817 Reilly St, FORT BRAGG |
State: | NC |
Postal Code: | 283107324 |
Phone Number: | 9109078922 |
Fax Number: | 9109076069 |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | 7955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |