Individual
DR. CODY STEPHEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7748 CHARLOTTE HWY, INDIAN LAND, SC 29707-9654
(803) 674-8043
Mailing address
7748 CHARLOTTE HWY, INDIAN LAND, SC 29707-9654
(803) 674-8043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9642
SC
Other
Enumeration date
06/16/2020
Last updated
06/24/2020
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