Provider Demographics
NPI:1861014011
Name:MILLER, NECOMBA M (CPT, ASPT)
Entity Type:Individual
Prefix:MRS
First Name:NECOMBA
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:CPT, ASPT
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7474 CREEDMOOR RD # 168
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1663
Mailing Address - Country:US
Mailing Address - Phone:919-438-1482
Mailing Address - Fax:919-573-0462
Practice Address - Street 1:1918 FALLS LANDING DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8845
Practice Address - Country:US
Practice Address - Phone:919-327-0475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy