Individual ProviderDaniel MiniorEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address800 Tilghman Dr, Dunn, NC 28334-5510(910) 892-1000PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Minior is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1427151737Provider TypeIndividualFull NameMinior, DanielGenderMaleSole ProprietorNoEnumeration Date9/6/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address800 Tilghman Dr, Dunn, NC 28334-5510Phone(910) 892-1000FaxUnlisted FaxMailing LocationMailing AddressPO Box 409540, Atlanta, GA 30384-9540PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense200400717North CarolinaProvider IdentifiersIDDescriptionIssuerID13622DescriptionOtherIssuerBCBS PROVIDER NUMBERNorth CarolinaID8913622DescriptionMedicaidIssuerUnlistedNorth Carolina