Basic Information
| Provider Information | |||||||||
| NPI: | 1760577548 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCPHERSON | ||||||||
| FirstName: | MILTON | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 641057 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152641057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006552656 | ||||||||
| FaxNumber: | 4128227411 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 W 27TH ST | ||||||||
| Address2: | |||||||||
| City: | LUMBERTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283583075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106715000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 07/11/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 0101034767 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 249845 | 01 | VA | ANTHEM | OTHER | 8958133 | 05 | NC | MEDICAID | 010372801 | 05 | VA | MEDICAID | 4503631 | 01 | VA | AETNA | OTHER | 1486303 | 01 | VA | CIGNA | OTHER | 58133 | 01 | NC | BCBS NC | OTHER | 68299 | 01 | VA | SOUTHERN HEALTH CARENET | OTHER | 1446496 | 01 | VA | AETNA | OTHER | 484793 | 01 | VA | SOUTHERN HEALTH | OTHER |