Individual
MISS MIA GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4871 SOCASTEE BLVD UNIT E, MYRTLE BEACH, SC 29588-7252
(843) 293-5610
Mailing address
3895 W EDGEWATER DR, FAYETTEVILLE, AR 72704-6347
(479) 684-1115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-07742
KS
225100000X
Physical Therapist
CP038877T
MO
225100000X
Physical Therapist
CP042862T
SC
225100000X
Physical Therapist
CP046987T
NC
225100000X
Physical Therapist
Primary
PT5429
AR
Other
Enumeration date
02/21/2024
Last updated
07/22/2025
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