Provider Demographics
NPI:1861146987
Name:MILLER, DYLAN A (CO)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:A
Last Name:MILLER
Suffix:
Gender:M
Credentials:CO
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Mailing Address - Street 1:910 RICHLAND DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1250
Mailing Address - Country:US
Mailing Address - Phone:407-221-7810
Mailing Address - Fax:
Practice Address - Street 1:4 MEETING HOUSE RD UNIT 9&10
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2766
Practice Address - Country:US
Practice Address - Phone:351-500-8065
Practice Address - Fax:351-500-8069
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2024-07-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment