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Contact Information

THEODORE R MILLER JR, ACNPC-AG
3000 NEW BERN AVE
RALEIGH, NC27610-1231
 Phone: 919-350-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for THEODORE R MILLER JR · (Male)

NPI Number 1992560023
Status Active
Credentials ACNPC-AG
Entity Individual
Enumeration date 02/19/2024
Last updated 11/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 5019653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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