| Milam Professional Services | |
|
5429 Wrightsville Ave Wilmington NC 28403-6513 | |
| (910) 792-1001 | |
| Not Available |
| Full Name | Milam Professional Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5429 Wrightsville Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | Thomas R Milam (PRESIDENT) |
| Authorized Official Contact | 9107921001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milam Professional Services 5429 Wrightsville Ave Wilmington NC 28403-6513 Ph: (910) 792-1001 | Milam Professional Services 5429 Wrightsville Ave Wilmington NC 28403-6513 Ph: (910) 792-1001 |
| NPI Number | 1780668327 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 01/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780668327 | NPI | - | NPPES |
| 016YR | Other | BCBS | |
| 8913027 | Medicaid | NC | |
| DG2340 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9901262 (North Carolina) | Primary |
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