Provider Demographics
NPI:1316336167
Name:MILLARD, ANTHONY II
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:MILLARD
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PRESTON EXECUTIVE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8485
Mailing Address - Country:US
Mailing Address - Phone:919-820-8469
Mailing Address - Fax:833-973-5679
Practice Address - Street 1:150 PRESTON EXECUTIVE DR STE 201
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8485
Practice Address - Country:US
Practice Address - Phone:919-820-8469
Practice Address - Fax:833-973-5679
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036160939207RB0002X, 207RB0002X
NC2025-01586207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine