Individual
WENDY LEIGH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
605 W MAIN ST, LEXINGTON, SC 29072-2503
(803) 358-6100
(803) 358-6105
Mailing address
PO BOX 900, WESTMINSTER, MD 21158-0900
(410) 871-6502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25928
SC
207Q00000X
Family Medicine Physician
D0072229
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259286
—
SC
05
—
552305200
—
MD
Enumeration date
07/20/2005
Last updated
11/09/2020
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