Miller, Justin Alan

Miller, Justin Alan is an individual health care provider with primary practice located at 5115 Oleander Dr Rm 8549 , Wilmington NC 28403-7018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Miller, Justin Alan can be contacted via phone (910) 362-1011.

Contact Information

Primary practice address
5115 Oleander Dr Rm 8549 Wilmington NC 28403-7018
Phone: (910) 362-1011
Fax: (910) 362-1012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 306418 Louisiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 255763 North Carolina

Profile Details

NPI number 1134566268
LBN Legal business name Miller, Justin Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2013
Last updated May 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134566268 NPPES
North Carolina MEDICAID 00587042

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