Provider Demographics
NPI:1841277084
Name:MILLMAN, FRANKLYN M (MD)
Entity type:Individual
Prefix:
First Name:FRANKLYN
Middle Name:M
Last Name:MILLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602658
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2658
Mailing Address - Country:US
Mailing Address - Phone:336-715-2011
Mailing Address - Fax:
Practice Address - Street 1:4614 COUNTRY CLUB ROAD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-3520
Practice Address - Country:US
Practice Address - Phone:336-716-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9401455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6041914Medicaid
NC64256OtherMEDCOST
SCQ0145DMedicaid
WV3810010841Medicaid
NC59311OtherBCBS
NC9673OtherPARTNERS
5391365OtherAETNA
NC8959311Medicaid
WV3810010841Medicaid
NC59311OtherBCBS
A23334Medicare UPIN