Provider Demographics
NPI:1083697973
Name:MILNER, ANDREW PAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PAUL
Last Name:MILNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:ANDREW
Other - Middle Name:PAUL
Other - Last Name:MILNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:984-215-4111
Mailing Address - Fax:
Practice Address - Street 1:1505 SW CARY PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6219
Practice Address - Country:US
Practice Address - Phone:919-460-7744
Practice Address - Fax:919-460-0226
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC266213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0813JOtherBCBS NC
NC4365612OtherAETNA
NC1301965OtherCIGNA
NC6901556Medicaid
I81606Medicare UPIN
NC6901556Medicaid