MILLER J VAN VLIET

BOLIVIA, NC
NPI1891790622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NC  200401590)
Enumeration Date2005-06-17
Last Update Date2012-07-11
Business Address
MILLER J VAN VLIET DO
240 HOSPITAL DR NE
BOLIVIA, NC 28422-8346
Phone number: 704-749-5800
Mailing Address
MILLER J VAN VLIET DO
200 PROVIDENCE RD ST. 101
CHARLOTTE, NC 28207-1468
Phone number: 704-749-5800