Individual
DR. MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
701 GROVE RD FL 6, GREENVILLE, SC 29605-4210
(864) 455-7146
(864) 455-5380
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57986
TN
2080P0203X
Pediatric Critical Care Medicine Physician
57986
TN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
91900
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
06/04/2024
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