Individual
MR. JAMES THOMAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1415 BLANDING ST STE 2, COLUMBIA, SC 29201-2922
(803) 256-1518
(803) 256-9719
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2095
—
SC
Enumeration date
01/24/2012
Last updated
06/14/2021
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