Individual
MICAH ADAM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3909 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 522-1320
(864) 522-1325
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4383
SC
363AM0700X
Medical Physician Assistant
5601008198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027313
KAISER COMMERCIAL NUMBER
CO
Enumeration date
07/27/2012
Last updated
08/05/2025
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